HomeMy WebLinkAbout2014-00969 - water meter � CITY OF ORONO * 2 0 1 4 - 0 0 9 6 9 *
' 2750 KELLEY PARKWAY pATE [SSUED: 08/28/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2345 GLENDALE COVE LA
PIN : 34-118-23-33-0067
LEGAL DESC : GLENDALE COVE
: LOT 008 BLOCK 001
PERMIT TYPE : WATER METER- RESIDENTIAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATGR METER- RESIDENTIAL
NOTG: INSEPCTIONS ARE DONE BY PUBLIC WORKS DFPARTMENT.
"I'O SF."I'-UP AN INSPF,C7�ION,PLEASE CALL:(952)249-4613
NLPTUNE
67229348
ERT HIGH: 1852387970
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPLICANT WATER METER RESIDENTIAL 245.70
WATER METER RESIDENTIAL HORN 68.97
EASCO PLUMBING& HEATING INC. TOTAL 314.67
7965 PIONEER TR
LORETTO, MN 55357 Payment(s)
(612)369-5486 CREDIT CARD 3448 314.67
OWNER
ADVANCED HOME EXTERIORS INC
1161 WAYZATA BLVD E #167
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
'I�he work for�vhich this permit is issued shall be performed accordine to
the approved plans and specifications,applicable City approvals,and thc
State Building Code. This permit is for onl��the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this fype of work
shall be compied with whether or not spccified herein.This permit will
expire and become null and void it'construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period oC 180 days at any time afier work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conl�ormance with the State Quilding Code.This permit may be
revoked at any time for due cause.
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p ' a �'ermitee Signature Date Issue y Signaturc Date
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FOR CITY USE ONLY
�O�O City of Orono
P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By:(IfRequired):
(9�2)249-4600
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CITY OF ORONO-WATER METER FORM
`�KES H��� (*Note:Some permits may require approval by the Building Official and/or Public Works Departmen[
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GENERAL INFORMATION
1. WATER METERS must be picked up and paid for at City Hall.
2. If possible,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)
�esidential (May Require Approval) ❑ Commercial(Approval Required)
�Iew Meter ❑ Additional Meter—For: ❑ Replacement Meter
Job Site / Owner Information:
Site Address: �� y S �-T��,���'l-� C v U-�
Owner: Mailing Address:
City: Zip:
Home Phone: � Alternate Phone:
Contractor Information:
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Contractor: ��� S L � ��'� l� Contact Person: � � �� '
Address: ��� S (���r��-r'�� -�� State License #: � � � U � U
City: � �Y�� Zip:���S7 Expiration Date: �2- 3 � l`�
Phone: �'��3��� -S�v� Alternate Phone: �%`���C
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WATER METER PERMIT FEES
WILL BE CAULULATED BY CITY STAFF
5/8"METER- ❑ 3/4" METER- ❑ I"METER-
5/8" HORN - ❑ 3/4"HORN - ❑ 1"HORN -
❑ " WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED)
1. METER FEE: $
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 *
B�ND: N
SIZE: ❑ 5/8" ❑ 3/4" ❑ 1" ❑ Other "
SERIAL#: ��IIII�1I8I52I�I79I�I�IIIIII (p� 2Z�3 ��
ERT HIGH#: (if applicable)
ADDITIONAL iNFORMATION—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 wlth-�k�e-or'dinances of the City and the regulations of the State
of Minnesota, and certifies a 1 statements made on this application are,true and correct.
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Applicant: ,�� Date: � � v �
Original: 1-Address File
Make Copies For: 1- Utility Billing Department I-Cash Drawer