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. ' <br /> ❑SAC Charge(2013 Rate=$2,435.00} $ <br /> (SAC Charge must accompany all sewer permit applications unless prepaid) <br /> (Orono City Staff can determine if applicable) <br /> (I[not prepaid,a sewer connection permit will not be issued) <br /> ❑Sewer Connection/Discoanect!Repair($50.00/Per Stub) S <br /> Pipe size inches;material Schd 40 air tested; cast iron <br /> ❑Water Connection/Disconnect/Repair($50.00/Per Stub) $ �O. OU <br /> Pipe size inches;material Schd 40 air tested; copper <br /> ❑Water Availability For Fature Hook-Up to Water($50.00) $ <br /> Water Availabilitv Exalanation: <br /> Contractor installed line to inside of house for future hook-up: <br /> This line will be inspected by the Public Worics Departmant. <br /> Required Before Water Connection Permit is Issued: <br /> 1. Issue Water Meter&Horn Permit <br /> 2. Any Additional Connection Fees Paid(If Applicable) <br /> Issue Water Connection Permit: <br /> 1. Collect Permit Fee&Issue Water Connection Permit <br /> 1. SUBTOTAL of Permit Requested: $ � Q. O� <br /> 2, STATE SURCHARGE $ 5.00 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PE:RMIT FEE(Add Lines I-3 Above) $ �J rJ . C� C� <br /> .4' .. s d f - ��*'[� � - <br /> .0 3 � _ ��:���:�����: ., . . ����,�.�.�...,._. �,�`,5_� � '� `; <br /> . __. ,_,��. ,:�..._........,._ _ ..._ r - <br /> ■ WATER METERS mast Ue picked up and paid for at Orono City Hall,these are on a s�arate permit. <br /> • WATER METERS musf be set and sealed by Orono Water Department (952) 249-4604, upon <br /> completion of rneter insta[lation. <br /> The undarsigned hereby applies to the City of Orono for issuance of a Utility Permit,a.grees to do <br /> all work iii sirict accordAnce with the ordinances of the City and the regulations of the State of <br /> Minnesota,and cartifies that all statements made on this application a.re,true aaid correct. <br /> t�pplicant•. `�— �. ��n,�..__ Date• �-- � � b � � � <br />