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DETERMINING PERMIT FEES <br /> ❑ SAC Charge(2005 Rate=$1,450.00) $ <br /> (SAC Charge must accompany all se�ver permit applications unless prepaid) <br /> (Orono City Staff can deternune if applicable) <br /> (If not prepaid,a sewe nection permit will not be issued) � <br /> Sewer Connection/ isconn t/Repair($35.00/Per Stub) $ � <br /> Pipe size inch ; ial Schd 40 air tested; cast iron <br /> ��ater Connection/Disconnect/Repair($35.00/Per Stub) $ <br /> Pipe size inches;material Schd 40 air tested; copper <br /> � <br /> 1. SUBTOTAL of Permit Requested: $ �> <br /> 2. STATE SURCHARGE $ .�0 <br /> < <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> O� <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) � ?~� �_ <br /> ADDITIONAL INFORMATION—WATER METERS <br />__,� Y <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall, these are on a separate pernut. <br /> ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon <br /> completion of ineter installation. <br /> a <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 cer�fies that all state nts made on this application are, true and correct. <br /> i <br /> Applicant: Date: ''� �j <br />