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�. <br /> � <br /> � DETERMININGPERl�IIT FEES ; <br /> ❑ SAC Charge(2005 Rate=$1,450.00) $ <br /> (SAC Charge must accompany all sewer pernut applicarions unless prepaid) <br /> (Orono City Staff can deternune if applicable) <br /> (If not prepaid, a sewer connection permit will not be issued) <br /> =a <br /> �-�ewer Con ect' n/Disconnect/R,e,p�,ir($35.00/Per Stub) $ <br /> Pipe size�uiches;material_�<!Schd 40 air tested; cast iron <br /> �Water Connection/Disconnect/Repair($35.00/Per Stub) $ � <br /> Pipe size � inches;material F d; cast iron <br /> �-„���C':n <br /> 1. SUBTOTAL of Peimit Requested: $ <br /> 2. STATE SURCHARGE $ .50 R <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 /> completion 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 mad n application are,true and correct. <br /> � <br /> Applicant: Date: <br /> �' � ��u �� <br />