Laserfiche WebLink
. , <br /> D�'�'��Il�3�PE�iIT FEE�a <br /> ❑ SAC Charge(2015 Rate=52,485.00) $ <br /> (SAC Charge must accompany all sewer permit applications unless prepaid) <br /> (Orono City Staff can detemune if applicable) <br /> (If not prepaid,a sewer connection permit will not be issued) <br /> ��. <br /> -�� b , c9C.� <br /> �Sewer Connecti�/Disconnect./Repair($50.00/Per Stuti) $ S <br /> Pipe size inches;material Schd 40 air tested; cast iron <br /> -,`_ <br /> �Water Connecti n k isconnect/Repair($50.00/Per Stub) $ � t�[� <br /> P i p e s i z e ches;mat�nal Schd 40 air tested; copper <br /> ❑Water Availability For Future Hook-Up to Water($50.00) $ <br /> Water Availabilitv Ezplaaation: <br /> Contractor installed line to inside of house for future hook-up. <br /> This line will be inspected by the Public Works Department. <br /> RecLuired Before Water Connection Permit is Issued: <br /> 1. Issue VJater Meter&Horn Pemvt <br /> 2. Any Addi6onal Connection Fees Paid(If Applicable) <br /> Issue Water Connecrion Permit: <br /> 1. Collect Permit Fee&Issue Water Connection Permit <br /> 1. SUBTOTAL of Permit Requested: $ ��� ' �� <br /> 2. STATE SURCHARGE $ 1.00 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ + • <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ _ <br /> !!�f . i�. <br /> AD151TIONAL INFORMATION-WATER METERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate�ermit. <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 w' h the ordinances of the CiTy and the regulations of the State of <br /> Minnesota, and certifie all statements made on this application are,true and correct. <br /> _- - - <br /> • -" � 5 <br /> Applicant: Date: <br />