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�! � <br /> �— DETERMII�iING PERMIT FEES � <br /> [� Sr1C Chargc(2007 Rate=�1,G7�.00) $ <br /> (SAC Char�e i��ust accompany all se�ver permit applications unless prepaid) <br /> (Orono City Staff can determine if applicable) <br /> (If not prepaid,a se���cr connection permit�vill not be issued) <br /> � Se�ver Cotu�ectio /llisconnect Repair(535.00/Per Stub) � <br /> Pipe size in �ial__Schd 40 air tested; 0_cast iron <br /> �� �i�ater Connection/Disconnect!Rep�ir(53�.00/I'er Stub) � <br /> Pipc size___ inches; material____Schd 40 air tested; � copper <br /> 1. SUI�TOTAL of Permit Requested: $ <br /> 2. STATE SURCH,IRGG $ .50 <br /> 3. TOS"I'�1GE� I-IANULING (Oniy on Yiail-In Applications) a 1.50 <br /> �4. T�TAL P1:6ZN�1'9'�'EE(Add Lines 1-� Above) � <br /> ADD[TIONAL INFORMATION -VVATER MLTERS <br /> ■ �j'A1'F,R�iGTERS must be picked up and paid Por at Orono City Hall,thesc are on a separ<�te permit. <br /> � 1l'AT�R I�tL'I'El�S �nusf be set a��cl sealed uy Orouo W'ater Dep�rtmcnt (9�21 249-4600, upon <br /> completion of mctcr installation. <br /> '1'lle undersigned hereby applies to the City of Orono for issuance of a Utility Permit, aQi-ees to do <br /> all ���orl: in strict accordance with the ordinances of the City and tlle re�ulations of the State of <br /> Minnesota, and certifies that all statements madc on this lpplication are, true and correct. <br /> Applic�nt � Date: � - 22��3� <br /> Reset Form <br />