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. - . <br /> �"` . DETERNIININGPERMITFEES � `' ` " <br /> ❑ SAC Charge(2005 Rate=$1,550.00) $ <br /> (SAC Charge must accompany all sewer pernut applications unless prepaid) <br /> (Orouo City Staff can determine if applicable) <br /> (If not prepaid,a sewer connection permit will not be issued) <br /> �ewer Connecti n/Disconne t , epair($35.00/Per Stub) $ <br /> Pipe size inc , erial Schd 40 air tested; cast iron <br /> ❑'��ater Connection/Disconnect/Repair($35.00/Per Stub) $ <br /> Pipe size inches; material Schd 40 air tested; copper <br /> 1. SUBTOTAL of Pernut Requested: $ <br /> 2. STATE SURCHARGE $ .50 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Luies 1-3 Above) $ <br /> ADDITIONAL INFORMATION-WATER 1VIETERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall, these are on a separate pernut. <br /> ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon <br /> completion of ineter installation. <br /> The undersigned hereby applies to the City of Orono for issuance of a Utility Peiznit, agrees to do <br /> all worlc in sh-ict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made this application are, true and coizect. <br /> C - <br /> Applicant: Date: � <br />