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1 <br /> DETERMINING PERIVIIT FEES ' <br /> �SAC Charge(2007 Rate=$1,675.00) $ <br /> (SAC Charge inust accompany all sewer perniit applications unless prepaid) <br /> (Orono City Staff can detennine if applicable) <br /> (If not prepaid,a sewer connection permit will not be issued) <br /> �Sewer Connection/Disconnect/Repair($35.00/Per Stub) $ <br /> Pipe size�inches; materiay�S�ohd 40 air tested; � cast iron <br /> ( <br /> �Water Connection/Disconnect/Repair($35.00/Per Stub) $ <br /> Pipe size inches; material Schd 40 air tested; 0 copper <br /> 1. SUBTOTAL of Pennit Requested: $ <br /> 2. STATE SURCHARGE $ .50 <br /> 3. POSTt�GE&HANDLING(Only on ivlail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines I-� 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 /> ■ W:,"CER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon <br /> completion of ineter installation. <br /> The undersigned hereby applies to the City of Orono for issuance of a Utility Permit, a�rees 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 all statements made on this application are, true and correct. <br /> Applicant: � Date: ���'� � <br /> Reset Form <br /> v - <br />