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, <br /> DETERMINING PERMIT FEE5 <br /> ❑ SAC Charge(2005 Rate=$1,450.00) $ <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) $ ���j. ��L' <br /> Pipe size / inches;material_.� Schd 40 air tested; cast iron <br /> � Water Connection/Disconnect/Repair($35.00/I'er Stub) $ ���jf �� <br /> Pipe size l inches;material X Schd 40 air tested; cast iron <br /> 1. SUBTOTAL of Permit Requested: $ ��, !n� <br /> 2. STATE SURCHARGE $ .50 <br /> 3. POSTAGE&HANDLING(Only on Mail-in Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines l-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 separate 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 /> r <br /> 1 � <br /> Applicant: /f� , ��i%� Date: �� <br /> Reset Form <br />