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� <br /> � <br /> � DETERMININGPERMITFEESi .�3s.�.,,�� :_�; ,�,�.,�;; <br /> �SAC Charge(2007 Rate=$1,675.00) $ <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 /> � Sewer Connection/Disconnect/Repair($35.00/Per Stub) $ �.OO <br /> Pi e size �'�� inches•materialSJ'�Q�► Schd 40 air tested• � <br /> p 'y , , cast iron <br /> T <br /> ❑Water Connection/Disconnect/Repair($35.00/Per Stub� $ <br /> Pipe size inches;material Schd 40 air tested; copper <br /> 1. SUBTOTAL of Permit Requested: $ 35�C� <br /> 2. STAT'E SURCHARGE $ .50 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 35 S� <br /> ADDITIONAL INFORMATION—WATER METERS <br /> • WATER METERS must be picked up and paid for at Orono City Hall,these are on a se�arate permit. <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 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 /> Applicant:���/C� Date: 1 I7 D� <br /> Reset Form <br />