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. <br /> - '`'� DETERMINING PERMIT FEES <br /> ❑ SAC Charge(2005 Rate=$1,550.00) $ <br /> (SAC Charge must accompany all sewer pernut applications unless prepaid) <br /> (Orono City Staff can determule if applicable) <br /> (If not prepaid, a sewer connection permit will not be issued) <br /> ,`���]�w�r Connection/Disconnecf/Repair($35.00/Per Stub) $ <br /> � Pipe size�inches;materia��Schd 40 air tested; cast iron <br /> VVater Conne ti�si/Disconnect/Repair($35.00/Per Stub) $ <br /> ipe size�inches; material Sclrct�0"�r�tested; copper <br /> Y°���. <br /> , <br /> 1. SUBTOTAL of Pernut Requested: $ <br /> 2. STATE SURCHARGE $ .50 <br /> 3. POSTAGE&:HANDLING(Only on Mail-I��Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ADDITIONAL INFORMATION-WATER ttiIETERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall, these are on a separate pernut. <br /> ■ WATER METERS must be set and sealed by Orono VVater 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 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 conect. <br /> � ` , �� <br /> Applicant: �- Date: ��' �� ��� <br />