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� <br /> DETERMINiNG PERMIT FEES -� <br /> [� SAC Charge(2007 12ate=�1,675.00) $ <br /> (SAC Charge must accompai�y all sewe�r peril�it applications u��less prepaid) <br /> (Orono CiCy Staff can determine if applicable) <br /> (If not prepaid,a sewer connection permit will not be issued) <br /> ] Sewer Connection/Disconnect Re� ' ($35.00/Pei•Stub) $ <br /> Pipe size y�� inches; material SPJ, �w Schd 40 air tested; � cast iron <br /> ❑� W:iter Con�tion/Disconnect/Repair(�35.00/Per Stub) � <br /> Pipc size inches; material_ Schd 40 air tested; � copper <br /> 1. SUBTOTAL of Pen��it Requested: $ <br /> 2. STATE SURCHARGE $ .�(i <br /> 3. POSTAGE& HAIvDLING(Oniy on Mail-In Appiicatioils) S 1.50 <br /> 4. TOTAL PEI2MiT FEE (Add Lines 1-, Above) $ <br /> ADD[T[ONAL INFORMATION —WATER METERS <br /> ■ �VA1'ER vI�TERS must be picked up and paid for at Orono City Hall,these are on a separate permit. <br /> � �Va"C�:R I��r'TERS must be set a��d sealed by Orono ��'�ke�� Uep���tmenk (9�21 24)-4600, upon <br /> completion of ineter installation. <br /> The undersigned hereby applies to the Citv of Orono for issuance of a Utility Permit, a�rees to do <br /> all worlc in strict accordance �vitil the ordinances of the City and tlle regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are, true and correct. <br /> Applicant: Date: `�— �3—v 7 <br /> Reset Form <br />