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DETERMINING PERMIT FEES <br /> []] SAC Ch;u�ge(2007 Rate=�1,67�.OQ) $ <br /> (SAC Charge must accompany all sewer�ernlit applications�mless prepaid) <br /> (Orono City Staff can determine if applicable) <br /> (If not prepaid,a sewer connection permit will not be issued) <br /> �Sewer Connection/ isconnec Rep�ir(535.00/Per Stub) � <br /> Pipe size inche . �terial Schd 40 air tested; 0 cast iron <br /> ❑� �Vater Connection/Disconnect/Repnir(�35.00/Per Stub) � <br /> Pipc size inches; material Sclld 40 air tested; 0 copper <br /> 1. SUI3TOTAL of Pennit Requested: $ <br /> 2. STATE SURCHARGE $ .>0 <br /> 3. POS"1'f1GE&i-lANDLiNG (Oniy on Ylail-In Appiications) S 1.50 <br /> 4. 'TO'I'AL PGRIIIT FEL, (Add Lines l-� rlbove) � <br /> ADD[�CIONAL INF02MATION -WATER METERS <br /> a ��'ATER�IGTERS must be picked up and paid for at Orono City Hall,thesc are on a s�arate permit. <br /> � W'.41'�R MCTEI�S rnust be set and se�leci_ by Orono �'�'�ter Department (9�21 249-4600, u�on <br /> completion of ineter instaliation. <br /> The undersigned hereby applies to the City of Orono for issuance of a Utility Permit, agrees to do <br /> all work in strict lccordance with the ordinances of the City and tlle regulations of the State of <br /> Minnesota, and certifies that all stateinents made on this �pplication are, true and coi�rect. <br /> Applicant: 'i��!�C�c Date: ���i� �� � <br /> Reset Form <br />