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2008-P12118 - sewer repair
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4040 North Shore Drive - 07-117-23-44-0092
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2008-P12118 - sewer repair
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Last modified
8/22/2023 5:41:00 PM
Creation date
1/9/2018 1:09:20 PM
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x Address Old
House Number
4040
Street Name
North Shore
Street Type
Drive
Address
4040 North Shore Dr
Document Type
Permits/Inspections
PIN
0711723440092
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. ., . . :_ : . DETERMINING PERMIT FEES <br /> DI 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 /> Sewer Connection/Disconnect/Repair 035.00/Per Stub) $ <br /> Pipe size inches;material Schd 40 air tested; 0 cast iron <br /> ❑Water Connection/Disconnect/Repair($35.00/Per Stub) $ <br /> Pipe size inches;material Schd 40 air tested; 1 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 permit. <br /> • WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon <br /> completion of meter 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,an4ertifies that all statements made on this application are,true and correct. <br /> � �p � �— a `� - cY <br /> Applicant: , 6,, "lam' Date: <br /> Reset Form <br />
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