Laserfiche WebLink
i ' <br /> � �. � ��� ��� ���s PERMI'I`�'EE� �:" �"�� ,�.. <br /> r , <br /> ,� .. <br /> r ��•� ..ri. <br /> ,, . .,, <br /> '[� SAC Charge(20]0 Rate=$2,100.00) $ a���• �� <br /> (SAC Charge must accompany all sewer permit applications unless prepaid) <br /> (Orono City Staff can determine if applicable) <br /> (If not prepaid,a sewer connection permit will not be issued) <br /> �] Sewer Connection Charge—City of Wayzata(Pass Through Fee) $ ��. �� <br /> (2010 Rate=$555.00) <br /> ❑ Water Connection Charge—City of Wayzata(Pass Through Fee) $ <br /> (2010 Rate-$2,020.00) <br /> ❑ Water Connectio�Opt-Out—(Please Initial) <br /> 1 am choosing not to hook-u to water at this time. <br /> [� Water Availability— (Please Initial) � <br /> I am choosing not to hook-up to water at this time. I have chosen to <br /> have my contractor make it water available for future hook-up. <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 Deparhnent. <br /> ReQuired Before Water Connection Permit is Issued: <br /> 1. Issue Water Meter&Horn Permit <br /> 2. Any Additiona] Connection Fees Paid(If Applicable) <br /> Issue Water Connection Permit: <br /> l. Collect Permit Fee&Issue Water Connection Permit <br /> TOTAL PERMIT FEE(Add Fees Listed Above) $ ���� �� <br /> ADDITIONAL INFORMATION—WATER METERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall, these are on a separate permit. <br /> Typically the contractor will pick-up and pay for this permit. <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 with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are, true and correct. <br /> �. <br /> �� <br /> �___ �._ <br /> Owner: ��� �- �--�__'._---- Date: �/ / \� /� � <br /> _�.—_ <br /> � <br />