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. , <br /> I DETERMTNING 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 /> .�� <br /> `�Sewer Connection/Disconnect Repair($50.00/Per Stub) $ �� <br /> Pipe size L� inches; material 1'��- Schd 40 air tested; cast iron <br /> o� <br /> (�.Water Conn�e ion/Disconnect/Repair($50.00/Per Stub) $ SC.� � <br /> Pipe size�__inches;material c� Schd 40 air tested; copper <br /> �J��( <br /> ❑ Water Availability For Future HookLUp to Water($50.00) $ <br /> Water Availabilitv Exnlanation: <br /> Contractor installed line to inside of house for future hook-up. <br /> This line will be inspected by the Public Works Department. <br /> Required Before Water Connection Permit is Issued: <br /> 1. Issue Water Meter&Horn Permit <br /> 2. Any Additional Connection Fees Paid(If Applicable) <br /> Issue Water Connection Permit: <br /> 1. Collect Permit Fee&Issue Water Connection Permit <br /> U� <br /> 1. SUBTOTAL of Permit Requested: $ +�7� <br /> 2. STATE SURCHARGE $ .50 <br /> 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00 <br /> a S� <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � j l7 � �- <br /> ADDITIONAL INFORMATION—WATER METERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall, these are on a separate permit. <br /> • WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon <br /> completion of ineter iostallation. <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 statements made on this application are, true and correct. <br /> � - <br /> Applicant: ticB � Date: �� ��'� � <br />