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�. ��,�� ;���.�. ,�� ��.. . T�ETERMININ��PE�TT����S ���, x= _ �: <br /> � SAC Charge(2007 Rate=$1,675.00) $ <br /> (SAC Charge must accompany all sewer permit applications unless prepaid) <br /> (Orono City Staff can determine if applicable) <br /> (If not prepaid,a sewer connection permit will not be issued) <br /> � Sewer Connec ion/Disconnect/Re air($35.00/Per Stub) $ <br /> Pipe size L inches;material �- Schd 40 air tested; � cast iron <br /> ❑Water Connection/Disconnect/Repair ($35.00/Per Stub) $ <br /> Pipe size inches; material Schd 40 air tested; 0 copper <br /> 1. SUBTOTAL of Permit Requested: $ <br /> 2. STATE SURCHARGE $ .50 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ <br /> ADDITIONAL INFORMATION-WATER METERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate permit. <br /> ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon <br /> c�mpletion of ineter installation. <br /> The undersigned hereby applies to the City of Orono for issuance of a Utility Permit, agrees to do <br /> all work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are, true and correct. <br /> Applicant: � d����L�*-� Date: `U��-���? <br /> Reset Form <br />