HomeMy WebLinkAbout2012-00725 - water meter w �
CITY OF ORONO * 2 0 1 z - 0 0 7 z 5 *
2750 KELLEY PARKWAY DATE ISSUED: 07/30/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3508 IVY PL
PIN : 20-117-23-42-0036
LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO
: LOT MB BLOCK MB
PERMIT TYPE : WATER METER-RESIDENTIAL
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : WATER METER-RESIDENTIAL
NOTE: INSEPCTIONS ARG DONE BY PUBLIC WORKS DEPARTMENT.
TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613
1" WATER METER-SERIAL#51390823
ERT HIGH# 1820457146
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPLICANT WATER METER RESIDENTIAL 39292
SPRING PLUMBING LLC WATER METER RESIDENTIAL HORN ]04.45
1 1473 KENYON COURT TOTAL 497.37
BLAINE, MN 55449-
(763)614-7963 PAID WITH CC# 3580
Minnesota State License#: 066807 PM
OWNER
RICHTER, ROBERT AND TINA
3508 IVY PL
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The�vork tbr which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State E3uilding Code. This permit is for only the work described and does
no[grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing[his type of work
shall be compied with whether or not specified herein.This permi[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 I 80 days at any[ime after work has commenced.
The applican[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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Appl ant Perm' e gnature Date (ssu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
7/27/�2. ik:33AM CDT Spring Plumbing LLC -> Building Dept 9522494616 Pg :
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CITY OF ORONO-WATER METER FORM
(■NoeO:Soioe pe�mits mar�oq�re upprovd by the Buildias of Fioia�.ndra Pu61k woal�a Doparpuent')
GBNERAL INFO}.tMATION
1. WAT�R METERB mu�be picked up and paid for st Ciry HaU.
Z. �8�ibla.fhx in this application ehead vf time;we will thea�m11 you and let you Imow we h�ve
the wate�mete�ia stvck. F�x Number;(932)?A9-4616. A1ao,you can cali ehesd of time to make
surc wc re�eived the fax,or m wem us lhst the f�c is oomir4g.
_ . . 3. WA1TB MI�T�RS must be eet and eealed 6�► Orw�o Water Depar�ment (9'S'l) ?49�4600�
npaa co►�npl�tian vf ine�t�r in�t�llanon.
'fYPE OF PERMlT
Check All Thax 1
0 Rmid�ntisl(MsY Requir�ADp�wel) �CommetCi81(ApproveJ Requited)
�'�Vew M�ete� [�AdditiosU�t Meftter—For: Q Repls�nent Metee
Job Site/Ownor Infozmation:
Sibc Addrsss: J�►✓ (��
Owaer� P�� Mailiag Address: I � Q O �i A.t�
City: _ �� �l��`�'`�— Zip: S�'L'��'17
Home Phone: Alternate Phane:
Cantrsator Informat�oa:
Contractor: t,%^� Contsct Person, !��� � �+WV1
Address: I ( ��� I�0� � State Licease#: �����
C�q�. Z�p'��j E�cpuatlon Date' ��/ 311_�!3
Phoae; ��3" l01�(- ?�(� 3 t+►►ltcrnate Phon�;
7/27/12 1�: 33AM CDT Spring Plumbing LLC -> Building Dept 9522494616 Pg :
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satzuw#: .5�� 3 9 O 8� 3
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1820457146
ADD O AL INFO T O —WATER ME�RS
7'he undarsi�ed he�eby applies to the Ciry of Orono for isauance of a w�ter meter permit,agrees
to do ell work iu stKct eGcoz•da�n.ce witb.the a�dinaaces of the City Qnd the regulations cf the State
of Miaa�ota.and catifies that all statements mads an this application are,tcue aad aonect.
A�,i�: rn �1�'� D�: ��a-� � r a--
� .�. ��o��Form. � �
pligirial: L A.ddness!�YlK
Malte CapdPMt To�; 1-Uddry��Jling Urparhnent J-Cash Drawer