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� , � <br /> D�'I���lN�rG P�II�MIIT FEES <br /> ❑ SAC Charge(2015 Rate=52,485.00) $ <br /> " � (SAC Charge must accompany all sewer permit applications unless prepaid) <br /> /(Orono City Staff can determine if applicabie) <br /> / (If not prepaid,a sewer connection permit will not be issued) <br /> Sewer Connectio /Disconne /Repair($50.00/Per Stub) $ <br /> Pipe size inc es;material Schd 40 air tested; cast iron <br /> �Water Connecti Disconnect/ epair($50.00/Per Stub) $ <br /> Pipe size es;material Schd 40 air tested; copper <br /> ( <br /> ❑ Water Availability For Future Hook-Up to Water($50.00) $ <br /> Water Availabilitv Eznlanation: <br /> Contractor installed line to inside of house for future hook-up. <br /> T'his line will be inspected by the Public Works Department. <br /> Required Before Water Connection Permit is Issued: <br /> 1. Issue Water Meter&Hom Permit <br /> 2. Any Additional Connection Fees Paid(If Applicable) <br /> Issue Water Connecrion Permit: <br /> 1. Collect Permit Fee&Issue Water Connection Permit <br /> 1. SUBTOTAL of Permit Requested: $ <br /> 2. STATE SURCHARGE $ 1.00 <br /> 3. POSTAGE&HANDLING(Orily on Mai�-Ip 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 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 ih strict accordance with the ordinances of the,City and the regulations of the State of <br /> Minnesota, and certifies that all st ents made on this,a}�plication are,true and correct. <br /> t • <br /> Applicant I � �Date: G+� <br /> � <br /> �. !�d�� �h�e <br /> � <br />