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Jul 31 13 06:45a Knapp and Sons Septic LLC 320-369-3795 p.2 <br /> DETERMiNING PERMIT FEE5 <br /> 0 SAC Charge(2013 Rate=�2,435.00) S <br /> (SAC Charge must accompany a[1 sewer permit applications unless�rep�aid) <br /> (Orono City Staffcan determine if applicable} <br /> (If not prepaid,a sewer connection permit wi[I not be issaed) <br /> ewer Conn 'o isconn Repsir(SSO.00/Per Stub) $ �(�(�.. G�(} <br /> Pipe size,__inches;material�Schd 44 sir tested; cast iron <br /> ❑Water Conoection/Disconuect 1 Repair($SlI.U0/Per Stub) S <br /> Pipe size inches;materia] Schd 40 air tested; copper - <br /> ❑Water Availability For Future Hook-Up to Vl�ater(S50.00) $ <br /> Water Availabilitv Ezalanation: <br /> Contractoc installed line to inside of house for fuiure hook-up. <br /> This lirte will be inspected by the Public Works Department, <br /> Reauired Sefore Water Conn�tion Permit is Issued: <br /> l. Issue R+ater Meter&Hom PermiY . <br /> 2. Any Additional Cocuiection Fees Paid(If Applieab(e) <br /> Tssue Water Connecfion Permit: <br /> 1. Collect Permit Fee&Issue Water Connection Permit <br /> 1. SUBTOTAL of Permit Requested: S �V U . C��'1 <br /> 2. STATE SURCHARGE $ S.UO <br /> 3. POSTAGE&HANDLING(Only on Mail-In Appiications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) s '�/ C9 7`. G G4 <br /> ADDITIONAL INFORMAT[ON—WATER METERS <br /> ■ WA'I'ER METERS must be picked up and paid for at Orono City Halt,these are on a separate permit. <br /> • WATER METE1tS musf be set aod sealed by Orouo Water Department (952)249-4G00, upos <br /> completion of roeter installation. <br /> The undersigned hereby applies to the Ciry of Orono for issuance of a UtiIity Permit,agrees to do <br /> all work in strict accordance with the ordinances of the City and the regulatioas of the State of <br /> IvTinnesota,and certif that all statements made on this apptication are,t�ue and correct. <br /> -, <br /> � <br /> i <br /> Applicant• :'� � Date• � �/ �,j <br />