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�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 /> 3s= <br /> [�Sewer Connection isconnect Repair($35.00/Per Stub) $ <br /> Pipe size��_inc ; nal P�� Schd 40 air tested; � cast iron <br /> 3 5"= <br /> [�'Water Con ��tion/ isconne Repair($35.00/Per Stub $ <br /> Pipe size � inche , erial 1"K Schd 40 air tested; � copper <br /> coPP.,. <br /> 1. SUBTOTAL of Permit Requested: $ 7U � <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) $ �t� . O v <br /> AUD�'T'IO1�tAL I�tFOR�IA"T`�t�l�l�-'4��. �11�ETE�S <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a s�arate permit. <br /> ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon <br /> comptetion 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 ordinances of the City and the regulations of the State of <br /> Minnesota,and certifies that all statements made on this application are,true and correct. <br /> Applicant: Date: �a�-0� <br /> 6�1�:4 <br /> �P�� �I,"rv�Yi,';�qi � <br />