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Home My WebLink About2008-00017 - water meter CITY OF ORONO PERMIT NO.: 2oos-000�� 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 952 249-4600 FAX: 952 249-4616 PRIN1'ED WI7'HOUT ISSUING 7/7/2008 ADDRESS : 3355 CRYSTAL BAY RD PIIY : 17-117-23-41-0024 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT O11 BLOCK 000 PERMIT TYPE : WATER METER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER METER NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT. TO SET-UP AN [NSPECTION,PLEASE CALL:(952)249-4613 NEW HORNS WERE NOT NEEDED WHEN REPLACING 5/8"METER NEPTUNE T-101 SERIAL#85815453 ERT HIGH# 1820716351 WATER METER RESIDENTIAL HORN 0 WATER METER RESIDENTIAL 1 APPLICANT WATER METER RESIDENTIAL 259.40 GRAHAM,JOHN 3355 CRYSTAL BAY ROAD WATER METER RESIDENTIAL HORN 0.00 WAYZATA, MN 55391- TOTAL 259.40 OWNER GRAHAM,JOHN 3355 CRYSTAL BAY ROAD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The 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 does not grant permission for additional or related work which requires separate permits. AIi provisions of laws and ordinances governing this[ype of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permi[may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF ORONO PERMIT NO.: 2008-00017 2750 KELLEY PARKWAY DATE ISSUED: ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 PRINTED WITHOUT ISSUING 7/7/2008 ADDRESS : 3355 CRYSTAL BAY RD PERMIT APPLICANT: PIN : 17-117-23-41-0024 GRAHAM,JOHN LEGAL DESC : WALLACES ADDN TO VIL OF MTKA 3355 CRYSTAL BAY ROAD B : LOT O11 BLOCK 000 WAYZATA, MN 55391- PERMIT TYPE : WATER METER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER METER INSPECTION RECORD 48 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS. CALL FOR INSPECTIONS WEEKDAYS: INSPECTION TYPE DATE INSPECTOR INSPECTION TYPE DATE I1�ISPECTOR SET& SEAL-DONE BY: PUBLIC ORKS INSPECTION COMMENTS: IN ACCORDANCE WITH CITY ORDINANCE,NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL WORK HAS BEEN APPROVED,AND A CERTIFICATE OF OCCUPANCY HAS BEGN ISSUED BY THE BUILDING DEPARTMENT. THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE. � � FOR CIT USE ONLY ,�0\ City of Orono P.O.Box 66 Date Received� Permit# �" � 2750 Kelle Parkwa s�t Y Y a �'`� ''' C stal Ba MN 55323 A roved[3 [f Re uired : ,� �ll ��r�c�- �,' rY Y, PP Y�� 9 ) a��r��.�o (952)249-4600 agao8 CITY OF ORONO -WATER METER FORM (*Note:Some permits may require approval by the Building Ofticial and/or Public Works Department*) GENERAL INFORMATION 1. WATER METERS must be picked up and paid for at City Hall. 2. I�ossible,fax in this application ahead of time; we will then call you and let you know we have the water meter in stock. Fax Number. (952)249-4616. Also,you can call ahead of time to make sure we received the fax, or to warn us that the fax is coming. 3. WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon completion of ineter installation. TYPE OF PERMIT (Check All That Apply) � Residential(May Require Approval) ❑ Commercial(Approval Required) ❑ New Meter ❑ Additional Meter—For: �Replacement Meter Job Site/ Owner Information: Site Address: 3 3�� ' ,��.,,.,� ��(. ; Owner: �J�r1 �'-P'�=-�n Mailing Address: 33� L'1�`� � ,�.�- �— City: �(R?7�-f? Zip: ��' ( Home Phone: C�S�, �{"1 f - �(�� Alternate Phone: � Contractor Information: Contractor: Contact Person: Address: State License #: City: Zip: Expiration Date: Phone: Alternate Phone: . � � � �� WATER METER PE�RMIT FEES � � WILL BE CAULULATED BY CITY�STAFF �5/8"METER- ❑ 3/4"METER- ❑ 1"METER- 5/8"HORN - ❑ 3/4"HORN - ❑ 1"HORN - ❑ "WATER METER (THESE WILL HAVE TO BE SPEC[AL ORDERED&PRICES DETERMINEU) � , 1. METER FEE: $ � / ' i�� 2. HORN FEE $ 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ ��%. � CITY-USE ONLY * For Current Pricing Refer to Current Year - Water Meter Pricing Chart * BRaND: /V.�.,C�r 1-C�'1� �-/�/ SIZE: �"5/8" ❑ 3/4" ❑ 1" ❑ Other " SERIAL#: �� ERT HIGH#: � �c� � �7 l �� l (if applicable) ADDITIONAL 1NFORMATION—WATER METERS The undersigned hereby applies to the City of Orono for issuance of a water meter permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are, true and correct. r ,� Applicant: �� Date: � Original: 1-Arldress File Make Copies For: 1- Utiliry Billing Department 1- Cash Drawer