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, •. . <br /> DETERMINING PERMIT FEES <br /> ❑SAC Charge(2014 Rate=$2,485.00) $ <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 permft will not be issaed) <br /> (�5ewer Connection/Disconnect/Repair($50.00/Per Stab) $ <br /> Pipe size�_inches;material�Schd 40 air tested; cast iron <br /> ❑Water Connection/Disconnect/Repair($50.0(I/Per Stab) $ <br /> Pipe size inch�;material Schd 40 air tested; copper <br /> ❑Water Availability For Fntnre Hook-Up to Water($50.00) $ <br /> Water Availabilitv Egulanation: <br /> Contractor installed line to inside of house for future hook-up. <br /> Ttris line will be inspected by the Public Works Department <br /> R�e uired Before Water CAnnection Permit is Issued: <br /> 1. Issue Water Meter&Horn Permit <br /> 2. Any Additional Connection Fees Paid(If Applicable) <br /> Issue Water Connection Permit: <br /> 1. Collect Pemut Fee&Issue Watsr Connection Permit <br /> 1. SUBTOTAL of Permit Requested: $ <br /> 2. STATE SURCHARGE $ 5.00 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lin� 1-3 Above) $ <br /> ADDITIONAL INFORMATION—WATER METERS <br /> ■ WATER METERS must he picked up and paid for at Orono City Hall,these aze on a seaarate�enni� <br /> ■ WATER METERS mnst be set and sealed by Orono Water Dep�rtment (952) 249-46011, upon <br /> completion of ineter installatioa. <br /> The undersigned hereby applies to the City of Otono for issuance of a Utility Permit,agrees to do <br /> all wark in strict accorda.nce with the ordinances of the City and the regularions of the State of <br /> Minnesota,and certifies that all statements made on this application aze,true and correct. <br /> Applicant:� C�,��..�� Date: �i—� —\�_ <br /> 1 <br />