HomeMy WebLinkAbout2007- Water meter info 2007-06-1802�17 5072376201» +9522494616 p1/2
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FOR(:ITY USE QNLY
4p�. City of Orono
'O O P.U.liux66 U91eReaived, PermilH ._,
. 275U Kelltv Purkwuv
�� ,.���• � Crystnl Bay,MN 55323 Approved By:(IFRequired):
�.i. �i�� 14521249-46W
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CITY OF ORONO—WATER MF,TER FURM
l'Nvle:Sume permils mry rcyuire upproval by Ihe Nuilding I)I}icial and/or Puhlic Wurke TkpeM1mCnl`)
(iEN�RAL INFORMATION
1. WATER METERS must be pickcd up and paid for at Ciry Hall.
2. l�ossible,fax in this applieation ahcad of timc;we will then call you and let you kuow we heve
the water meter in stoek. Fex Numbrr:(952)249-4616. Also,you can coll ahead of time to make
sure we received the fax,or to warn us that thc fax is coming.
3. WATER METERS muRt be xet and Realed by Oruno Water Department (952) 249-4600,
upon completion of ineter iqetallation.
TYPE OF PERMCr
(Check All That Apply)
❑Residential(May Require Approval) �Commcrcial(Approval Requi�ed) j
\
� New Me[er ❑Additiona!Metzr—For: � Replacement Mecer
J�b Site/Owner lnformation:
Site Address: 3799 casco ave wayzata mn 55391
Owncr: kenneth rennick Mailing Address: 32670 195th av
���y: new prague ��p: 56071
Home Phone: �952) 292-6429 Alternate Phone: �952) 292-6429
Contractor Information:
C.ancractor: �s mechanical corey
Contact Person:
Address: 475 lake dr. State C,icense#: 005973pm
City: W�nstead Z�P:55395 Expiration Datc:
Phone: �952�649-82�3 Alternate Phone: �612) 366-5945
2007-O6-1B 02:17 5072376201» +9522494616 p 2/2
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2007-WATER METER PERMIT FEES
❑ S/8"METER-$240.00 0 3/4"METER-$291,00 Q t"MGT�R-$356.00
� 5/8''NORN -$ 44_62 Q 3/4"HORN -$ 49.03 ❑ 1"HORN -$ 73.l2
Q "WATER METER (THF:6E WILL HAVE TO BE SPE('fAl,qRDFRBp 6k PRI(:ES DETERMINED)
1. METER FEE: $ 291.00
2. HORN FEE � 49,03
3. TOTAL PERMIT FEE(Add Linrs 1-2 Above) 'Calcula�es $ 340,�3
Automatically
GITY-USE ONLY w
BRAND: N�� I L� �I lk�
SIZE; Q 5/8" �3/4" ❑ I" 0 Other "
SERIAL#: �
ERT HICH#: ,��� , _ � (if e I�cable)
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ADDiTiUNAL MFORMA'fCON-WATER METERS
The undersi�ned hcreby applies tv the City of Orono for issuAnce of a water meter permit,agrce�
to do all work in strict accordance with the ordinan�es �f the City and the reguJations of the State
of Minnesota,and certifies that all statements made on this application are,true and correct.
Applicant: � Date: G��- ��S`n7
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nriginal.� 1-.4ddre,cs File
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