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� • <br /> �SAC Charge(2007 Rate=$1,675.00) $ <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 /> pD <br /> �}'3ewer Conne tion/Disconnect/Repair($35.00/Per Stub) $ ���• <br /> Pipe size � inches;material�Schd 40 air tested; � cast iron <br /> ❑Water Connection/Disconnect/Repair($35.00/Per Stub� $ <br /> Pipe size inches;material Schd 40 air tested; copper <br /> 1. SUBTOTAL of Permit Requested: $ <br /> 2. STATE SURCHARGE $ .50 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1� <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ADDI�TONAL INFORMATI�N'-WA'I'ER 1VIETERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate 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 st ' ccordance with the ordinances of the City and the regulations of the State of <br /> Minn and ce ifies that a ents made on this application are,true and correct. <br /> � <br /> Applicant: Date: � �3 � <br /> ,,, <br />