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• - <br /> 94/05l2B07 I0:66 7632635912 ADVANCE WALL SYSTEMS PAGE 03l83 <br /> Tt. �:,.J y �s:''ty"�',.�"`x��K+ �".f �fv +.�'Y:�i�lTh.'tl!f ' 4'"c. �F <br /> � � �'�r,��.r�. �;����. ���,�.�[':�i. t :Y%„pl.?"S J y�C �, <br /> I' <br /> . ❑SAC Chnrge(2007 Rate=F1,675.p0)' S <br /> (5AC Ch0.rso�nuet aeeon�pm�y nII.ewer p p ot a unlc��prCpaid) <br /> (Orono Cit��Staffca»determinc iFxpplioable <br /> (!f not prepaid.a sewcr connection permit i ued) <br /> �Scwer Conrtectian I Diseonnect/RcpAir(S3 /P S ) $ <br /> Pipe size Inthes;matcrial 5clid ir te ; � east iron <br /> Q�Water Cannection/.Uisconneet J Repnir•($3 S i 1 S ' <br /> Pipe size inthe�;mntetiaf Sthd ir st ;�copper <br /> 1. SUBTOTAL of Perinit Requested: S <br /> �. S'ra�'�.suRr_HaR.r,E . $�„ <br /> 3. POSTAGE&H�NDL[NG(Only on Mail-In i n S 1. 6 <br /> 4. 'COTAI.PERMI'F F'�E(Add Lirtes]-3 Abov S ' <br /> � " ADD!"fIONAi:��FORMAT"(fl METERS� � . � � <br /> ■ WA'l�R NiETERS must be picked up and paid fo�at n it all,thcse are on a • ' ennit. <br /> • W.�TCR IYIETERS•mast bc aet nnd xslcd hy Oro �w� ¢��a+luiriil (952)Z49-�6 0,jupOn <br /> cot»plCtion of ineter iostallaiion. <br /> ! <br /> The undersigncd hercby applies to the City a£Orono s c f a Utility Permit,agr es t�do <br /> all work in•st�•ict accmda�ice with the ordinances of t C a tlio regutatsons of the State�f <br /> Minneeota,�+d certifie�,thnt all statemcnt;inwdc ozt th p ca n t+re,t�•ue and wr,rzr:t_ <br /> . �/ � � � � � . <br /> Applicnnt: ✓ ate: � �- � <br /> -:......;::..: .. . : -, <br /> I <br /> '�aReset:F��i:n:'":.� , <br /> . .._.� .... . .... ........ <br /> C �O� f���7/ <br /> �� �g <br /> � I <br /> , <br /> . , � ' . <br /> E 'd STSO-LLz-TS9 ievtueyoaW y��oN d� d60 �60 LO SO �dd <br />