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91/09/2815 19:29 9522d94616 CITY OF ORONO PA�E 02/02 <br /> , . <br /> �� �Y _, . ... •: ^.f... c✓1•'4f1!;n^�.T",. <br /> '7tyj: K.1� "y"'�'jtt'Y•1�r��. ..�;Y91'J:.,�qW,iw'�;.:;,�.'a:e.•;�,a �f�� ��sZ. <br /> ., �.1 :�.r.. ..., <br /> _ .��;:r.. <br /> . . ' '.'� <br /> :N.;;::.i•�.�:�:�.'l�;:'a•.. "'�� :f.,. .. _v:•;�:, <br /> ❑BA�G Char�e(x015 Rat��S?,485.O11� � <br /> (3AC ehar�e tteeuat accompeay att savvar permit applicatiozrs unless prepa�id) <br /> . (Orono Gtity Staff cen datae�use Rf applicable} <br /> (tf not prepnid,a eew�lt c000cxNon p�mit will�ot be i�sued) <br /> Sewer Cvanecb /A aopM pair(SSO.001Per Stub) S �� � <br /> Pipe siu� , erial 5chd 40 aix fiee�ed; cast ioron <br /> Q vVater Conncctiem/D�acnnnect 1 Repair(�.i0.00/�'er 5lab) � <br /> pipe s�z,e inchea;material_,�.Schd 40 air tosee6; _eopp�x <br /> ❑Water Avat�l�bn�ty Far Ruture Hook Up td Water(�50.E►0) S - <br /> 7�Yater A�ailab7ltv�xmaoay�,4Ai <br /> Contra�tpr installed line to insidc o�houeo£or futwro laook-up, <br /> T�is lin�a w�l b�[tiepectcd by tbe Public Woxtcs Depar�er►t. <br /> 7i'�n�i HeEore Water C _ <br /> 1. Issm Wet�r Mete�dt Hozn Pamft <br /> 2, Any Add'ltlopal Conx�ection Pees�aid(If Apglicablc) <br /> LsStte�i►a �ottaeGdon Po:mit: <br /> i, concc�re�n+ie Foe ac�ssue wsccr CoRmccttoA�ern�it <br /> 1. SUBT'U'�AL of I'ermit Requeatod: $ ' � <br /> 2. STAi"E SURCHARG�S � 5.00 <br /> 3. P05'CAdE&HANA�iNG(O�ly an Mali-Sn Applicatians) 5�.,?.00 <br /> 4. TO'�'AL P�RMPT FEE(A,�d X.�nes i-3 Abmr6) � � <br /> � . '. �ITX()Nt1L�IV�ORMi�'�0�--WA'I�3'�k�TB�tS � . . . <br /> ■ R►A��'�R 1V��R�must be picice�up and pald tbr at 4irona eity Natl,l�ese are aa a a�.�. <br /> � WA�'I'EA N�TERS mnst be�et and eealed by Qr+oao W�eer Department(95Z)Zd9-4600,�pon <br /> ¢amp�iCtiell ot GdC�E1'(1�9WIsdOtA�. <br /> 'The unde�s�gaed hereby ap�plies ta th�e City of Orono far isRuanc�of a Utili�ty�e�lt,a�s m do <br /> all wark Q► �trict accordanc�with 4be ard�ar�ces o�the City and the re8ulations of the 3t�te of <br /> M]qT1CSUt8,,lfd CCCi��BS tb.At gll�ts�o Oa?�g AppliaSt��are,tfUe ana CO�fect• <br /> ��� p�. r <br /> �� <br />