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, <br /> DETERMINING PERMIT FEES <br /> � SAC Chaige(2007 Rate=$1,G7�.00) � <br /> (S.AC Charge must accotnpany all sewer permit applications tinless prepaid) <br /> (Orono City Staff can dctermine if applicable) <br /> (If not prepaid,a sewer connection permit will not be issuecl) ��� <br /> � Sewer Conn ction/Disconnect/12e�air(�3�.00/Per Stub) � � � � <br /> Pipe size inches;material�Schd 40 air tested; �_cast iron <br /> � �,.� <br /> ❑� �Vater Connection/Disconnect l 12epair($35.00/Per Stub) � <br /> Pipe size iilches; material__Schd=10 air tested; 0 copper <br /> 1. SUBTOT�IL of Permit Requested: $ <br /> 2. STATF. SURCNARGE �_ •�� <br /> 3. POST�IGE&Hf1NDL1iJG (Oniy on blail-In Appiicatioils) S 1•5� <br /> / , �'� <br /> =4. TO"€'AL PF.I2MIT F�E (Add Lines 1-� Above) � �� <br /> ADD[TIONAL iNFORMATION —WA�CER M�TERS <br /> � �'1'A"CER�1ETERS must be pickcd up and paid for at Orono City Hall,these are on a separate permit <br /> � lV:�,T�R I�IETERS m��st �e set and sealed by Orono «'ate�� Dep�►•tment (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 ���orl: in striet accordance with tl�e ordinances of the City and tlle regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are, true and correct. � <br /> Applicant: � � c��Lt�..�.�s Date: � –. 2 Z —Q � <br /> Reset Form <br />