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. • <br /> �� - �� �� ��: . ;� '����� DETERMINING���PERMIT�FEES � � <br /> ❑SAC Charge(2005 Rate=$1,450.00) � =�.--_ —*� _ � <br /> (SAC Charge must accompany all sewer pernut applications unless prepaid) <br /> (Orono City Staff can deternune if applicable) <br /> (If not prepaid,a sewer connection permit will not be issued) <br /> ❑ Sewer Connection/Disconne¢t%Repai�35.00/Per Stub) $ <br /> Pipe size inches;mater'�1�d 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 Pernut 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 INFORMATION-WATER METERS <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 regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are,true and correct. <br /> �,. <br /> Applicant: Date: ��� � �--� � <br /> � <br /> ; <br /> � � a i <br /> � ' i <br /> I � � <br /> i � � ;u <br /> I. h'� g y� � � <br /> r i <br /> � f' <br /> ...... � i �z r. f� � �' �'� <br /> � � <br /> ; �� ' � � { � S �� � <br /> . , g ��. �; � r � V �� � ; v <br />., �. . . . . � . ,� � � . '�� . I .. ., � � ��� I' m '� '� � _ �' . . <br /> � ? ;;� �f. �ii � !.. <br />