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2014-01085 - sewer/water disconnect
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3309 Crystal Bay Road - 17-117-23-41-0016
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2014-01085 - sewer/water disconnect
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Last modified
8/22/2023 3:39:44 PM
Creation date
5/25/2016 12:45:47 PM
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x Address Old
House Number
3309
Street Name
Crystal Bay
Street Type
Road
Address
3309 Crystal Bay Road
Document Type
Permits/Inspections
PIN
1711723410016
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f � <br /> t <br /> DETERMINING PERMIT FEES <br /> ❑ SAC Charge(2014 Rate=$2,485.00) $ <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 /> lX►Sewer Coonectio /Disconnect/ epair(�50.00/Per Stub) $ <br /> T� Pipe size inc es;matenal Schd 40 air tested; cast iron <br /> �f Water Connectio Disconnect Repair($50.00/Per Stub) $ <br /> Pipe size inc es;matenal Schd 40 air tested; copper <br /> ❑Water Availability For Future Hook-Up to Water($50.00) $ <br /> Water Availabiliri�Explanation: <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 /> 1. Issue Water Meter&Hom 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 PERMTT FEE(Add Lines 1-3 Above) $ <br /> ADDITIONAL 1NFORMATION-WATER METERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate�ermit. <br /> ■ WATER METERS must be set and sealed b�� 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, a�rees 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 made on this application are, true and correct. <br /> Applicant: � / Date: ��,�fy <br /> / / <br /> ✓ <br />
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