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a ti <br /> ' DETERMINING PERMIT FEES <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 appiicable) <br /> (If not prepaid,a sewer connection permit will not be issued) <br /> � Sewer Connection iscon t/Repair($35.00/Per Stub) $ ��' � <br /> Pipe size �" inches;material Schd 40 air tested; � cast iron <br /> � Water Connection Disc nnect/Repair(535.00/Per Stub) $ ��• � <br /> Pipe size�inches;material �>> Schd 40 air tested; � copper <br /> 1. SUBTOTAL of Permit Requested: $ <br /> 2. STATE SURCHARGE $ ,5p <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 Cit} of Orono for issuance of a Utility Permit, agrees to do <br /> all work in strict accordance with the ardinances of the City and t11e regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are, true and carrect. <br /> Applicant: Date: �—IZ—� <br /> Reset Form <br />