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►. t, . <br /> = DETERMINING PERMIT FEES �% <br /> ,, �. <br /> ❑SAC Charge(2016 Rate=$2,485.00) $ <br /> (SAC Cliarge must acconlpany all sewer pertnit applications unless prepaid) <br /> (Orono City Staff can determine if applicable) <br /> (If not prepaid,a sewer connection permit will not be issued) <br /> �Se� onnectio isconnect/Repair($50.00/Per Stub) $ 50.00 <br /> Pipe size inches;material Schd 40 air tested; cast iron <br /> �Wate onnection isconnect/Repair($50.00/Per Stub) � ��,� <br /> Pipe size inches;material Schd 40 air tested; copper <br /> '�Water Availability For Future Hook-LJp to Water($50.00) $ '�'�—' <br /> Water Availabilitv Explanation: <br /> Contractor installed line to inside of house for future hook-up. <br /> This line will be inspected by the Public Works Department. <br /> Required Before Water Connection Permit is Issued: <br /> L Issue Water Meter& Horn Permit <br /> 2. Any Additional Counection Fees Paid(If Applicable) <br /> Issue Water Connection Permit: <br /> I. Collect Perniit Fee&Issue Water Connection Permit <br /> 1. SUBTOTAL of Permit Requested: � �pn nn <br /> 2. STATE SURCHARGE $ 1.00 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2 <br /> 4. TOTAL PERI�[IT FEE(Add Lines 1-3 Above) $ 10 . <br /> lQ/, �� <br /> ADDITIONAL 1NFORMATION—WATER METERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate perniit. <br /> ■ V1'ATER METERS must be set and scaled 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 Pernlit, agrees to do <br /> all work in strict accordance with tl�e ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all stateinents made on this application are, true and correct. <br /> Applicant: Date: I�I T�i 7 <br />