Laserfiche WebLink
* , . <br /> ❑SAC Charge(2016 Rate m$2,485.00) $ <br /> (SAC Charge must accompany all sewer pe�mit applicarions unless prepaid) <br /> (Orono City Staff can determine if applicable) <br /> (If not prepaid,a sewer connection permit will aot be issued) <br /> ❑Sewer Connection/Disconnect/Repair($50.00/Per Stub) S <br /> Pipe size inches;material Schd 40 air tested; cast iron <br /> �Water Conn�tion/Disconnect Rep ' S0.00/Per Stub) $ <br /> Pipe size j inches;material 5chd 40 air tested; copper <br /> ❑Water Availability For Future Hook-iJp to Water($50.00) $ <br /> Water Availabilitv Eaolanation: <br /> Contractor installed line to inside of house for future hook-up. <br /> This line will be inspected by the Public Works Department. <br /> R�quired Before Water Connecrion Permit is Issued: <br /> 1. Issue Water Meter&Hom Pernrit <br /> 2. Any Addirional Connection Fees Paid(If Appticable) <br /> Issue Water Connecrion Pernut: <br /> l. 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) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ADDITION,�L INFORMATION—WATER METERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate permit. <br /> • WATER METERS must be set and sealed by Orono Water Departmeat(952) 249-4600, upon <br /> completion of ineter instailation. <br /> The undersigned hereby applies to the City of Orono for issuance of a Utility Pemrit,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 ttus application aze,true and correct. <br /> Applicant: � � Date: 9/19/16 <br />