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� <br /> � <br /> r; ' .:v '�'� DBT'ER1ViI�TING P�RIVIIT FEES ' :, , ;; ' ' � ,�` ;;� <br /> ; _ , ,�. <br /> ❑SAC Charge(2005 Rate=$1,550.00) S <br /> (SAC CUarge must accompany all sewer pemiit applications unless prepaid) <br /> (Orono City Staff can deternline if applicable) <br /> (If not prepaid,a sewer connection permit rvill not be issued) <br /> �Sewer Conne�on/Disconnect/Repair($35.00(Per Stub) $ <br /> Pipe size�inclies;material Schd 40 air tested; cast iron <br /> ❑Water Connection/Disconnect/Repair($35.00/Per Stub) $ <br /> Pipe size inches;material Schd 40 air tested; copper <br /> 1. SUBTOTAL of Peniut Requested: � <br /> 2. STATE SURCHARGE $ .50 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applicadons) $ 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 s�arate 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 regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are,true and correct. <br /> J r _ ' � - /� - oG <br /> Applicant:� Date: � <br /> k <br />