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. <br /> . , . <br /> � � . . �. <br /> ! L j - �'� :7��i1 f " 4: 1 t:' t i� i} � -.. <br /> , `D�T�I2MININ.C���RMIT:FEES.' �;� ,,, � 5, ��� <br /> ❑ SAC Charge(2005 Rate=$1,550.00) $ <br /> (SAC Charge must accompany all sewer pernut applications unless prepaid) <br /> (Orono City Staff can detercnine 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 inches;inaterial Schd 40 au 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 L'uies 1-3 Above) $ <br /> ',ADDITIONAL INFqORMATiON—WATER METERS" <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 /> Applicant: � Date: �C� — �� �� G-- <br />