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DETERMINII�TG PERMIT FEES <br /> ❑ SAC Charge(2009 Rate=$2,000.00) $ <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 /> ✓❑ Sewer Connection/Disconnect/Repair($50.00/Per Stub) $ 50.00 <br /> Pipe size 4 inches;material Pv� Schd 40 air tested; cast iron <br /> ❑Water Connection/Disconnect/Repair($50.00/Per Stub) $ <br /> Pipe size inches;material PVC Schd 40 air tested; copper <br /> 1. SUBTOTAL of Permit Requested: $ 50.00 <br /> 2. STATE SURCHARGE $ .50 <br /> 3. POSTAGE&HANDLING(Only on Mail-ln Applications) $ `z ''.�—�_ <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 50.50 <br /> ADDITI�NAL TNFORMATION-VVATER METERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate pennit. <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 statem ade on this application are,true and correct. <br /> Applicant: Date: 05/04/09 <br /> Reset�For� <br /> J <br />