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� . , <br /> h Y ' `�' DETER�II�TIN� RN1IT FEES " � � ` ''�` ��� <br /> ;, , ,� ,, ., �,a ,: ::� <br /> �� , <br /> : , ...., . . ,: tt .. ,., . � ... ,, <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 Connection/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 uiches;material Schd 40 air tested; copper <br /> . 1. SUBTOTAL of Pemut Requested: $ <br /> 2. STATE SURCHARGE $ .50 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ADDITIONAL INFORIVIATTON—WATER 1VIETERS <br /> ■ WATER METERS must be picked up and paid for at Orouo 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 sixict 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,hue and correct. <br /> Applicant: ��`�` �ti Date: f d � � � U � <br />