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� <br /> . <br /> , <br /> N , ,. �,� < � ,w�, D�TERiVIININC�� }: �r� , '� <br /> .: ,. <br /> . , ; , _ - .,, , �RMIT;;FEES;' <br /> ❑ SAC Charge(2005 Rate=$1,550.00) � <br /> (SAC Charge must accompany all sewer pernut 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 Conne;ct}�n/Disconnect/Repair($35.00/Per Stub) $ <br /> Pipe size�mclies;material Schd 40 air tested; cast iron <br /> ❑Water Connection/Disconnect/Repair($35.00/Per Stub) $ <br /> Pipe size uiches;material Schd 40 air tested; cop}�er <br /> 1. SUBTOTAL of Pernut Requested: $ <br /> 2. STATE SURCHARGE $ .50 <br /> 3. POSTAGE&HANDLING(Only on Mail-In A�plicadons) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Liues 1-3 Above) $ <br /> � ` ADDITIONAL Il�FORIVIATION-'WATER 1VIETERS' ` ` ' <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate pernut. <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 regularions of the State of <br /> Minnesota, and certifies that all statements made on this application are,true and conect. <br /> � <br /> Applicant: Date: �0 ` ��i— � � <br />