HomeMy WebLinkAbout2018-00098 - water meter CITY OF ORONO * 2 0 1 8 — 0 0 0 9 8 *
" • _ 2750 KELLEY PARKWAY DATE ISSUED: OU26/2018
ORONO,MN 55356-
(952)249-4600 FAX: 952)249-4616
ADDRESS : 570 SANDHILL DR
PIN : 33-118-23-24-0016
LEGAL DESC : ORONO PRESERVE
: LOT 9 BLOCK 1
PERMIT TYPE : WATER METER-RESIDENTIAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER METER-RESIDENTIAL
NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT.
TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613
5/8"NEPTUNE METER
SERIAL 35736158
ERT# 1545398504
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPLICANT WATER METER RESIDENTIAL 242.65
WATER METER RESIDENTIAL HORN 82.02
SABRE PLUMBING&HEATING
15535 MEDINA ROAD TOTAL 324.67
PLYMOUTH,MN 55447- Payment(s)
(763)473-2267 CHECK 33214 324.67
Minnesota State License#:mech-MB3392,p1bg-PC645349
OWNER
OPS Orono LLC
15250 WAYZATA BLVD#101
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
1'he work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of Iaws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction suthorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any rime after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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A plicant Permite i ture Date Issued By Signa e Date
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P.O.Box 66 �tCY��kl� •�''�� �p��a�jr�.' ,� ��r
27�0[�clley Park�t'ay ',,,�s- "� y ie��``#���� ,� ��`°��'�`k�� � S
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CITY OF ORONO-WATER METER FORM.
(•Note:Somr prnnits ma}'require apQroval b�!hc Buildine Ot'ticial and/�r Pubtie Wocics Dcpanment t)
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a 3 I' {� �� � f s t���: 3.�_:- �3_.7.c.�'s�"�r«.S��M,u,B".}i�����x'bv�..�'�x.�k`t=:x.3Far_.:.
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i. WATER METERS must be picked un and paid for at City Hall.
2. If possible,fvc in tltis application ahead of time;�ve u•itl then call yon and tei you know ive hate
ihe water meter in stock. Fa�c Number:(952;249-A616_ Alsa,you can catl ahead of time to mal:e
sure�ve receit ed the fax,or to�varn us that the fax is caming.
3. WATER hiETERS �nast be set and sealed b� Oroao tYater Depactmeat (952) 2d9-4648,
npoa rnmplction of inetet-installation.
�
�Residential(May Require Approval) ❑Commrscial(A�}�roval Required)
Q�Ncw Meter ❑Additional Meter—Eor: Q Replactment Meter
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Site Address: `�I n e���' I ��`(✓
Owner: Mailing Address:
City: Zip:
Home Phone: Alxernate Phone:
�;,-«;. ... _ ,.�,. .. ....-....:r p�.. ... .
_ Contractor: �D�1/� Y��DI � --)_1)4�v►
�'� Contact Person:
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^ � Address: �j State License#: �i��3�9
City: Zip:�l�'� Expiration Date: I Z.� 31��ZOl q
Phone: �I1�-'7'I.�'ZZ.�O� AtternatePhone: �U��Z�3��I'��'S�
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• �,
❑ 5/8"M�T�R- � 3/A`�M.ETGR- ❑ 1"MGTER-
❑ Si8"HORN - ❑ 3/4`'HOTtN - i] t"HORN -
a "WATER METEit (THES8I�ILL tiAVE TO BE SPECIAL OR�F,RFD&PRTCES DETF,i2MiNFD)
L ME"I'�R FEE: $
2. HORN FEE $
3. TOTAL PERl4i[T FEE(Add i,ines 1-?Above) S �Z`i•�O�
� >'�` � ..��._ ��`�,�'��.�, �'�� -
* Eor Current Pri�ing Itefer ta Cutrent Y�ar-VJater Meter Pricing�hart*
BRAND_
ED2611 RDG3 �
5/8"x S/a••
stz�: ❑s,�s" �3J4� ❑ �°� ❑oct►e,- � 35736158
• I IIIIII IIIII IIIII IIIII IIIII IIIII IIII IIII
SERIAL#:
ERT NIGH�: ullllllll llllll IIIIIIIIIII II (if applicable)
1545398504
The undersigned hereby applies to the City of Orono for issuance of a vc>ater meter peirnit,agrees
to do atl work in sirict accordance�cc ith tfie ordinances of the City and fhe regnlations of the State
of Minnesota,and ca�tifies that alI statements made on this application are,true and correct.
Applicant: ���1/li�.�( �QU�I.�,NY�V� Date: �'?.�J• ZO� �
Origina/: 1-Address File
Make Copies For: 1-(itililv Billing Denartment I-Cc:sh Drcriver