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, <br /> . � <br /> � k„ .`:aa ����.������d��y�`�-������� � �� �.3.,,�. \ <br /> ❑ SAC Charge(2013 Rate=$2,43�.00) $ <br /> (SAC Char�e must accompany all sewer permit applications unless prepaid) <br /> (Orono Ciry Staff can determine if applicable) <br /> (If not prepaid,a sewer connection permit will not be issued) <br /> [� Sew Connection/Disconnect/Repair($50.00/Per Stub) $ <br /> Pipe s�z 'nches; materiai Schd 40 air tested; cast iron <br /> ❑ Water Connection/Disconnect/Repair($50.00/Per Stub) $ <br /> Pipe size inches; material Schd 40 air tested; copper <br /> ❑ Water Availability For Future Hook-Up to Water($50.00) $ <br /> Water Availabilitv Explanation: <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 /> l. lssue Water Meter&Horn Permit <br /> 2. Any Additional Connection Fees Paid(If Applicable) <br /> Issue Water Connection Permit: <br /> 1. Collect Permit Fee R Issue Water Connection Permit <br /> 1. SUBTOTAL of Permit Requested: $ <br /> 2. STATE SURCHARGE $ 5.00 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ <br /> ADDITIONAL INFORMATION —WATER METERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separatepermit. <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 wark iq� str`ict,accor.danc� with'the ordinar�ces of th�e City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are,true and correct. <br /> 1 <br /> ` f - <br /> Applicant. ���Q Date: � l � <br />