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�' DETERIVIINING PERIVIIT 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 determine if applicable) <br /> (If not prepaid,a sewer connection permit will not be issued) <br /> �Sewer Connection/Disconnect/Repair($35.00/Per Stub) $ <br /> Pipe size�inches;material�_C�chd 40 air tested; cast iron <br /> �Water Connection/Disconnect/Rnepair($35.00/Per Stub) $ <br /> Pipe size / inches; inaterial ro�� Schd 40 air tested; copper <br /> l. SUBTOTAL of Pernut Requested: $ <br /> 2. STATE SURCHARGE $ .50 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ <br /> ADDITIONAL INFORMATION-WATER 1�V1"ETERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a s�arate perniit. <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 accord w' the ordinances of the City and the regulations of the State of <br /> Min ota, and c tifie that all stat ents�ade on this application are,true and conelf. <br /> ; <br /> Applicant: Datc: <br /> �� �� <br />