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1/1/2016 <br /> Elk River ----- <br /> Municipal Utilities <br /> 13069 Orono Parkway <br /> P.O.Box 430 phone: 763-441-2020 <br /> Elk River,MN 55330-0430 fax: 763-441-8099 <br /> WATER CONNECTION PERMIT <br /> (Name of Applicant) (Phone) <br /> (Service Address of Applicant) <br /> (Mailing Address of Applicant) <br /> Hereby requests permission to connect to the Elk River Municipal Utilities water <br /> system at: <br /> Lot Block Addition <br /> Signature of Applicant: <br /> WHEREAS, the said applicant agrees to pay the sum of: <br /> $ 3,090.00 Water Connection Fee <br /> $ 335.00 Water Access Fee (if applicable)* <br /> $ 3,425.00 Water Access Charge (WAC) <br /> $ 218.00 Water Meter <br /> $ 14.99 Tax on Meter <br /> Total Due this Permit $ 3,657.99 or $3,322.99 <br /> *Please contact Elk River Municipal Utilities to determine if water access fee has been prepaid. <br /> WHEREAS, the connection as above specified, has been approved and inspected <br /> by Elk River Municipal Utilities. <br /> NOTICE: A Sewer and Water hook-up permit is required by the City of Elk River <br /> and must be obtained from City Hall. <br /> 63 <br />