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DETERMINING PERMIT FEES ' <br /> ❑ SAC Charge(20l l Rate=$2,230.00) $ <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 /> ewer Connection/ Disconnect/Repair($50.00/Per Stub) $ <br /> Pipe size ��inches;material f-i�P�Schd 40 air tested; � cast iron <br /> ❑ Water Connection/Disconnect/Repair($50.00/Per Stub) $ <br /> Pipe size inches;material Schd 40 air tested; copper <br /> ❑ Water Availability For Future Hook-Up to Water($50.00) $ <br /> Water Availabilitv Explanation: <br /> Contractor installed]ine to inside of house for future hool<-up. <br /> This line will be inspected by the Public Works Department. <br /> Required Before Water Connection Pennit 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: $ � � � <br /> 2. STATE SURCHARGE $ 5.00 <br /> 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ J�S� � <br /> ADDITIONAL INFORMATION-WATER METERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a se�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 ardinances of the City and tl�e regulations of the State of <br /> Minnesota, and certifies t�at all statements made on this application are, true and correct. <br /> Applicant: ����� � Date: � � �/ <br />