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. . + <br /> r <br /> DETER:NIINiNG P�RMIT FEES <br /> ❑ SAC Charge(2015 Ra � $2,485.00)_ $ <br /> (SAC Charge must acc an ewer permit applications unless prepaid) <br /> (Orono Ciry Staff can determine if applicable) <br /> (If not prepaid,a sewer connection permit will not be issued) <br /> �ewer Con ction/Disconnect/Repair($50.00/Per Stub) $ <br /> Pipe size�inches;material��9chd 40 air tested; cast iron <br /> t <br /> r ti / ' onnect/Repair(550.00/Per Stub) $ <br /> ' e i es;material Schd 40 air tested; copper <br /> ❑ Water Availability For Future Hook-Up 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 /> 1. Issue Water Meter&Hom 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: $ <br /> 2. STATE SURCHARGE $ 1.00 <br /> 3. POSTAGE&HANDLING(Only on Maii-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� � <br /> ADDITIONAL iNFORMATION— WATER METERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a s�arate 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 th�all statements mad �s a ation are,true and correct. <br /> .�----- <br /> Applicant: Date: <br /> ( '- �� <br />