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_SAC Charge(2005 Rate=$1,550.00) $ <br /> (SAC Charge must accompany all sewer permit applications unless prepaid) <br /> (Orono City Staff can deteiinine if applicable) <br /> (If not prepaid,a sewer connection permit wW not be issned) <br /> �Sewer Connection/Disconnect/Repair(535.00/Per Stub) S <br /> � Pipe size inches;material Schd 40 sir tested; cast iron <br /> Water Connecrion/Disconnect/Repair(535.00/Per Stub) $ <br /> Pipe size inches;material Schd 40 air tested; copper <br /> 1. SUBTOTAL of Permit Reyuested: $ <br /> 2. STATE SURCHARGE $ .50 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> A�D�"i'I(J�iAL R+1Ft�A�L4'I"It3�T--V��TER ME I"ER,S <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate nermit• <br /> • WATER METERS mast be set and sealed by Oroao Water Department (952) 249-4600, apoa <br /> complerion of ineter installation. <br /> The undersigned hereby applies to the City of Orono for issuance of a Utility Permit,agrees to do <br /> a11 work in strict accordance with the ardinances of the City and the regulations of the State vf <br /> Minnesota,and certifies that all statements made on this application are,true and corcect. <br /> Applicant•�/1;� '� Date: D� <br /> , , , , <br />