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.� . � <br /> - I)ETERMINING PERMIT FEES; <br /> ❑ SAC Charge(2005 Rate=$1,550.00) $ <br /> (SAC Charge must accompany all sewer pernut applications unless prepaid) <br /> (Orouo City Staff can determuie if applicable) <br /> (If not prepaid,a sewer connection permit wili not be issued) <br /> �Sewer Connection/Disconnect/Rep ir($35.00/Per Stub) $ <br /> �� Pipe size�inches;material�Scl�d 40 air tested; cast iron <br /> �\'Vater Connection/Disconnect/Repair($35.00/Per Stub) � <br /> Pipe size�inches; material('��(1_Schd 40 air tested; copper <br /> �.,� <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 Lines 1-3 Above) � <br /> ADDITIONAL INFORMATION-WATER 1VIETERS <br /> ■ WATER METERS must be picked u�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 inetei•installation. <br /> The undersigned hereby applies to the City of Orono for issuance of a Utility Pennit, agrees to do <br /> all work in shict 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 con-ect. <br /> c Date: � lJ <br /> Applicant: � � � �� <br />