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' ; <br /> � . <br /> . s <br /> . .; . <br /> � ; <br /> , , , <br /> ��:�:., „r; a � , <br /> .� <br /> �R,C�!°?.+;h'��, <br /> < • <br /> � • <br /> ❑SAC C6arge(201Qltste=$2,100.00) �s ' <br /> (SAC Chargt must accompany all sewer permit appG�tions untess preFaid) <br /> (Orono City 3taff can debarmina if applicable) ; <br /> (If not prepsld,a.sewer c�decrion petmit wfll not�e bsaot� ' . <br /> f�&+w�Co�e�t�or1/Dt8Coa4ect/S�epe�(S50.00/Per� b) S � ,�� r <br /> Pipe sine 7 inches;mate�ia! v`. Sdtd 40 air te�d; cast iron <br /> � <br /> r <br /> ,�V1�aber eanue�tion/Dlsconqtet/ r($50.09 b), S �� <br /> con ' <br /> Pipe size�,'�inches:tna�a�al✓' �Schd 40 air ; �PP�' . . <br /> ��dre��ee., . <br /> ❑Water Avail�bility For�'ntnre Aook-Up to Water(3�SOA0) $ <br /> � . . • <br /> . . VV ter�Avsilabilitv E nl�a�tion: � <br /> Conhgdor installed line to inside of f�duse for fuduo k-up. ' <br /> This line�+vil1 be inspected b.y tlae public Works Dep t� � <br /> R�uired Befor Water Coimecaon Permiti�ssued: . <br /> 1. Issue Watet Meter 8t Harn Permit <br /> 2. Arry Additional Connectioa Fers Paid(�f A licable) � � <br /> Issue Water C an Pennit� � <br /> x. Collect�ermit f'ee&Issue W�tar Cannectin Permit � <br /> � <br /> ; � <br /> 1.�SYJ'BTOTAL of Pertnit Requosted: � $ � � • l��• <br /> 2. STA7'E SURCI3AROE � $ ' •�� <br /> 3. POSTAGE&I�CANDLING(Only on Mail-In Appiicat�ons) $� Z QQ <br /> , , . <br /> 4. TOTAY,P'ERMIT FEE(Add�.iues 1-3 Abo�e) � S 1�•�� <br /> . �nnrt�or.tar,�n�rFo�ta�orr-�� , .���:���r��s.� � <br /> ■ WATER ME7'ERS must be picked up and paid for at Orono: ity Hall,it►ese ara o�►a sepa�per i . <br /> ■ 'WATEYt 11�TERS ma't be set And sail�d by Orono W De�ewr�mt.(952)249=46fl0, apon � <br /> � complrtlon ot mehr iostalhtloa , <br /> ; <br /> . � <br /> � , <br /> The unctersigned hereby applies to the City of Orono for iss df a LTtility Permit,agrees to do <br /> all work in�sirict accordance with the ordinances nf the Ci and t�e regulations of the 3tate of <br /> Minnesota,a�ad aertif�es that all statemeMs made on this 'on are,lrue'and cotrect. . <br /> ' � � . i-v- � <br /> Applicaut: ' Daie• <br /> i � <br /> .:'�.Y:,('�::W�� .'A�:S.'�YY...y�.'�rh• .�y!�{,,•'':•'•••:''} J <br /> i�•y�,5+�`"it' .,: , "� t�erii�yry.��� � � , . <br /> "��'s:7�'.�i a; ' .� I , e�i�i�'�';''� . <br /> �.'�r:P'..� k:'..:s;;.e_�'r...:.a:H.�.�'.,,a�,�.•:. <br /> �+ . <br /> !7 . <br /> 1 <br /> � <br /> 1 . <br /> { <br /> i <br /> { <br /> ` . . <br />