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Y <br /> DETERMINING PERMIT FEES <br /> ❑ SAC Charge(2005 Rate=$1,450.00) $ <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 /> [�e�wer Connec ion/Disconnect/Repair($35.00/Per Stub) $ 3 '`�� <br /> Pipe size�inches; material_�Schd 40 air tested; cast u�on <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&HAIv'DLING(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 pernlit. <br /> ■ WATER METERS must be set and sealed by Orono Water Department (9�2) 249-4600, upon <br /> completion of ineter installation. <br /> The undersigned ereby applies to the City of Orono for issuance of a Utility Permit, agrees to do <br /> all work in s ict acc rdance with t ordinances of the City and the regulations of the State of <br /> Minnesota that all sta ents made on this application are,true and conect._ <br /> / <br /> Applicant: Date: �'�� � � d �o <br /> � <br /> ; <br /> � . : . , . . . . . - � r � � <br /> � . .,. . . . » � . <br />