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. . , <br /> t <br /> DETERIVI]NING PERMIT FEES <br /> ❑ SAC Charge(2005 Rate=$1,450.00) $ <br /> (SAC Charge must accompany all sewer peimit applications unless prepaid) <br /> (Orono City Staff can deternune if applicable) <br /> (If not prepaid,a sewer connection permit will not be issued) <br /> �Sewer Connection Disconnect epair($35.00/Per Stub) $ <br /> Pipe size in , erial Schd 40 air tested; cast iron <br /> �Water Connectio /Disconnect/R ir($35.00/Per Stub) $ <br /> Pipe size n c es; 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) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ADDITIONAL INFORMATION-WATER METERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate uernvt. <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 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 /> �� / <br /> Applicant•��-,�� �rn—,�c,,.G��t Date: �-�—�.Z�;, <br /> j <br /> � a , <br /> F ,: <br /> � T � �� <br /> � � � �� <br /> ,� <br /> � ' V "' :� <br /> � d <br /> � � i � G �.. �' , �� '� <br /> � � �I � �I a: 4 �� � <br /> . . . � � ` � ,� �I ��.,: � � : � <br /> .� . . . . . . , . � '. .'I .. t :'I'.� .i .' ��,� :�k I�. ��. w �'. � j �'� . . <br />