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' <br /> � • . _ _, <br /> � � ��',. � a:� r� ���� �DBTERMINING PERMIT FEES �� i <br /> ❑ SAC Charge(2012 Rate=$2,365.00) $ <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 /> g] Sewer Conn ion�/Disconnec epair($50.00/Per Stub) $ <br /> Pipe size�inches;material�Schd 40 air tested; cast iron <br /> , <br /> ❑Water Connection/Disconnect/Repair($50.00/Per Stub) $ <br /> Pipe size inches; material Schd 40 air tested; copper <br /> ❑ Water Availability For Future Hook-Up to Water($50.00) $ <br /> Water Availabilitv Exulanation: <br /> Contractor installed line to inside of house for future hook-up. <br /> This line will be inspected by the Public Works Department. <br /> Required Before Water Connection Permit is Issued: <br /> L Issue Water Meter&Horn Permit <br /> 2. Any Additional Connection Fees Paid(If Applicable) <br /> Issue Water Connection Permit: <br /> 1. Collect Permit Fee&Issue Water Connection Permit <br /> 1. SUBTOTAL of Permit Requested: $ <br /> 2. STATE SURCHARGE $ 5.00 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <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 s�arate pernut. <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 stateme ts ade n this application are, true and correct. <br /> �J �� � - — <br /> A lican • ��� � � �-� <br /> pP t• Date: � <br />