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- DETERMINING PERMIT FEES ': <br /> ❑ SAC Charge(2005 Rate=$1,550.00) � <br /> (SAC Charge must accompany all sewer pernut applications unless prepaid) <br /> (Orono City Staff can determuie if applicable) <br /> (If not prepaid,a sewer connection permit�i�ili not be issued) <br /> `�Sewer Connec ion/Disconnect/Repair $35.00/Per Stub) $ <br /> Pipe size�inches;inaterial Schd 40 air tested; cast iron <br /> [�Water Conn ction/Disconnect/Repair(�35.00/Per Stub) $ <br /> Pipe size�inches; material�[�Schd 40 air tested; copper <br /> � � <br /> 1. SUBTOTAL of Peniut Requested: $ <br /> 2. STATE SURCHARGE $ .50 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lules 1-3 Above) � <br /> ADDITIONAL INFORMATION-WATER iVl"ETERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall, these are on a separate pernut. <br /> ■ `�'ATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon <br /> completion of ineter installation. <br /> The undersi�ned hereby applies to the City of Orono for issuance of a Utility Pennit, agrees to do <br /> � all work 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 on this ap�lication are,true and conect. <br /> v <br /> Applicant: Date: J �, � � O <br />