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. w <br /> • � , . _ <br /> DETERMINING PER]NIIT FEES <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 /> 35.00 <br /> � Sewer Connection/Disconoect/Repair($35.00/Per Stub) $ <br /> Pipe size inches;material Schd 40 air tested; � cast iron <br /> �Water Connection/Disconnect/Repair($35.00/Per Stub) $ � � VJ <br /> Pipe size inches;material Schd 40 air tested; 0 copper <br /> 1. SUBTOTAL of Permit Requested: $ �� �s W <br /> 2. STATE SURCHARGE $ .50 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMI'I'FEE(Add Lines 1-3 Above) $� �'°�� v � <br /> ADDITIONAL INFORMATION—WATER METERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a s�arate permit. <br /> ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon <br /> comptetion of ineter installation. <br /> The undersigned hereby applies to the City of Orono for issuance of a Utility Permit, agrees to do <br /> all work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota,and c ifies that all statements made on this application are,true and conect. <br /> �-,P � �'✓����--� � - /� C$ <br /> Applicant: Date: <br /> Reset Form <br />