Laserfiche WebLink
Aar-25-2006 11:43am From-CITY OF ORONO +9522A94616 T-314 P.002/002 F-052 <br /> ' r� Z e �}��$. j�� �D�j��*` ; +(��p d f}4: � ,�y•c���'�"�'iti 7'�i� i:h?�',': <br /> � r:.�� 7,`1;,� �1� � •�A 'G7.'�� YvC �:;��`�'��:..�a�a� ���� <br /> �i?i'�`v�•Pf�,P.;'�r;�i"��.'}����:�.�.-.�>ibS'Y,•,';:i�N„'iM,������ �;ll�'�4�t1+�`��� r�.� ..r. Er ! �I��••"Sn� .-) <br /> ?� .n. <br /> ❑SAC Chargc(2005 Rste=51,550.00) $ <br /> (SAC Charge xnust accompany all sewer permit applications untess prepaid) <br /> (Orono Ciry Sta,tf can dctermine if applicable) <br /> (Cf not prepAid,a sewer conaection permit will aot be issued) <br /> �Sewer Connection/Disconnect!Repair($35.00/Per Stub) S��q <br /> Pipa size,�inches;matecial�_Schc140 air oesced; cast uon <br /> ❑1�Vater Conncctian/Disconnect/RepAir($35.00/Per Stub) $ <br /> Pipe size iuches;maberial Schd 40 air tested; copper <br /> 1. SiJB1 OTAL of Pernut Requested: � <br /> 2. STATE SUCLGHARGE $ •sp <br /> 3. pOSTAGfi&HANDLING(Only on Mail-Tn Applicarions) S 1.50 <br /> 4. 'L'OTAL P�YtMIT FEIi(Add Lincs 1-3 Abovc) $ <br /> � � .ADl7T'rIONAL TNFQRMATCON—�WATER METERS <br /> ■ WATER METERS�mLct be picked up and paid for at Orono City Hall,these ace an a seoarate pe�mit. <br /> ■ WATER ME'1'ERS must be set and scaled by Orono Water Depariment (952)249-4600, upon <br /> completion of ineter insta!{ation. <br /> The undersigned h�reby applies to the City of 4rono for issua�tce of a Utiliry Pernut,agrees to do <br /> all work in strict accordance with the ordinances of the City and the rtgu�arions of the State of <br /> Minnesota,and eertifies that all statements made on this application arc,true and correct. <br /> Applicant� ` Date� ,'7"v��-� <br />