HomeMy WebLinkAbout2013-00320 - water meter - �- CITYOFORONO * 20 13 - PJ0320 *
2750 KELLEY PARKWAY DATE ISSUED: OS/08/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1860 FOX ST
PIN : 03-117-23-42-0016
LEGAL DESC : WALDRON WOODS
: LOT 2 BLOCK 1
PERM[T TYPE : WATER METER- RESIDENT[AL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER METER- RES]DEN"TIAL
N01'E: INSEPCTIONS ARE DONE F3Y PUBLIC WORKS DEPARTMF,N"I'.
TO SET-UP AN INSPEC"I�[ON,PLEASE CALL:(952)249-4613
5/8'NEPTUNE WATER MGTGR
SERIAL#93297733
ERT# 1834805213
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPL[CANT WATER METER RESIDENTIAL 245.70
SABRE HEATING & AIR COND INC. WATER METER RESIDENTIAL HORN 68.97
15535 MEDINA ROAD
PLYMOUTH, MN 55447 TOTAL 314.67
(763)473-2267
OWNER
OLSON, MICHAEL&JENNIFER
3924 UPTON AVE S
MINNEAPOLIS, MN 55410-
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 Ihe
State E3uilding Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing Ihis type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date oY 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 S[ate Building Code.This permit may be
revok d at a�y time or due caus
s , � , �3 �; gr,
App icant er itee Signature Date [ssu� By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE.
05/07/2013 TUE 7: 58 FAX 763 473 8565 Sabre Plumbing & Heating �001/002
: �
rl.�#t ti7x use c�1v�� � ,,'� �^ �
�A- Cit��of Orono i`�j'.,, ` '� �(J
�� `�` P O.Bo�GG Da�c Aeceivrd�j!�^i� �Pcnnii N `` �,,,�'.�,
� �� 27>0 I�etley Parkwny � ��_ e��.' �„�� � ��
� ,�� Crystal Day,MN>j3?3 Approved 8y:(11�Rcyuircd) , �
��� (952)2d9-4600
CTTY OF ORONO-WATER METER f'ORM
(*Notc:Somc pennils may�rcquirc approvnl by Ihc Building Official and/or Public Works Departmeni•)
�L��1��.l..�A��.a!?,��.f�T.��*-" h �
L WATEl2 METEKS must be picked up and paid for�t City F�all.
2. If possible,fax in this appiication ahcad of iime;we will then call you and tet you know�ve have
the water meter in stock. Fax Number:(952)249-4616. Also,you can calf ahead of time to n�ake
sure we received the fax,or to warn us that the fax is co�ning.
3. WATER METERS musi be set aud sealed by Qrono Water Department (952) 249-4600,
upon eompletion of ineter instailation.
' ' TYPE O�`P£RMIT .
(CtieGl.�:+A�l`�'hat APP15') :�,.
T�Residential(May Require Approval) ❑Comcttercial(Approval IZeqnired)
(�New Meter �Additional Meter-For._^._ ❑Replacement Meter
�70���t��`'�,������fQ��.��,�s�z��t r��,
<.l. F,F.,...,. /e3t Y 'k6 { . r,.:r,2'/..�'L.c�s..�'*.��. ,
SItC l�ddCCSS: V OU�'� f ���� �.�(�U
Owner: Mailing Address:
City: Lip:
Home Phone: Alternate Phone:
�� � � �, �z 2� �z;_� �����*��, �
'�n�� '/+� � ��P : � t'��,,�,� ��. < �c a
�. t .ti... _ Sli,..�.. �...�cn:� ,�e,�S`ra �i�� -
� -- Contractor. ���,7 i� 'v ��-� ,�� y�� ContactPerson: .�������1
J T
_ _ _.. . __.__ ____ . . _— ......_.__. . . _,.. ... �.. _ . . ___ .._. _,..._�_._..__._ .. . ,.... . __..__ _ _. -:
Address: `�5��� X State License�: � �r,(�'����?1-���i
City: � �' `.�►-' 7_ip:�Y� � Expiration Date: l 7- �31 1 C�1 '�
Phone: ��:� l._':?� `C��(� Alternate Phone:
05/07/2013 TUE 7: 58 FAX 763 473 8565 Sabre Plumbing & Heating �002/002
� �AT3?�Z i�l� T`�R�i'FRMIT�P�� � ��
---�__._ �l�l�:�;`13�CAL�,���`I'1"�:�i'Y,CI�%Y:STAT F ,j` ., �
[�5/8"M[:1�LR- 3!Q`'ME'1'EI2- ❑ 1„MCTrK-
Q�5/8"HORN - g 3/4"HORN - ❑ 1„HORN -
� '�WA�I�ER�1'IET�'R (THFSE\VILL HAYE TO BF,SYF:CIAL pRDERED d FRICES AETF.KMINEI))
l. MfiTk,x��ce: s ��``J ��C
__._._.. _ _
2. t�oarr t�LE $ � ��_1c...�_
3. TOTAL PEKMIT FEE(Add Lincs 1-2 Above) $��-, �,p/
���- :>CITY-US���1VL'Y `
* l�or Current Pricing Refer to Current Year- Water Meter Pricing Chart *
BRAND: _ �,I�7'L'1,�L� _ _______
SIZE: �5/8" ❑3/4" [� I" ❑Other ____"
S�RIAL#: �_�� 9 7/�3� �
ERT HIGFi#: III III����������������������� (if applicable)
1834805213
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The undersigned hereby applies to th�Ci�y of Orono for issuance of a water meler pern�it,agrees
to do al(work in strict accordanee with the ordinances of the Ciry and the regulations of the Siate
of Minnesota,and certifies that aIl statements made on this application are,true and correel.
�-,-
Appiicant•__� j �� ,' - �� � Lt,L(,t.u-/.��.�,�.. Date: r� `l �)C l�J
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Original: I-Address File
Make Copies For.• 1-Utilitv Billing Depurtnrenl 1-Cush Urawer