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, �,, • <br /> . <br /> '�r � ��a��_ � '� �e,-���"���,�.�`��� •:� �'��'� � ,.� ` ,� � �,�`,��L�° �iF <br /> ❑SAC Charge(2007 Rate=$1,825.00) $ <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 /> ❑5ewer Connection/Disconnect/Repair($35.00/Per Stub) $ <br /> Pipe size inches;maxerial Schd 40 air tested; cast iron <br /> ❑Water Connection/Disconnect/Repair ($35.00/Per Stubj $ <br /> Pipe size inches;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 /> ' f:- r ,, ,A����;�.I����!�'��.'-�.�����`�1� � <br /> ■ R'ATER METERS must be picked up and paid for at Orono City Hall,these are on a sepazate nermit. <br /> ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon <br /> completion of ineter installation. <br /> T'he undersigned hereby applies to the City of Orono for issuance of a Utility Pemut, 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, 11 s�atements made on this application are,true and correct. <br /> � <br /> A licant• • ��°� � <br /> PP Date. <br />