HomeMy WebLinkAbout2017-00718 - water meter CITY OF ORONO * z 0 1 7 - 0 0 7 1 e *
~ � 2750 KELLEY PARKWAY DATE ISSUED: 06/27/2017
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3295 CRYSTAL BAY RD
PIN : 17-117-23-41-0013
LEGAL DESC : TOWNS[TE OF LANGDON PARK
: LOT 002 BLOCK 002
PERMIT TYPE : WATER METER-RESIDENTIAL
PROPERTY TYPE : RESTDENTIAL
CONSTRUCTION TYPE : WATER METER-RESIDENTIAL
NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT.
TO SET-UP AN INSPECT[ON,PLEASE CALL:(952)249-4613
NEPTUNE 1"WATER METER
SERIAL#53944763
ERT HIGH#1545535468
WATER METER RES[DENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPL[CANT WATER METER RESIDENTIAL � 372.06
WATER METER RESIDENTIAL HORN 144.64
SPRING PLUMBING LLC TOTAL 516J0
11473 KENYON COURT
BLAINE, MN 55449- Payment(s)
(763)614-7963 CREDIT CARD 6186 516.70
Minnesota State License#:plbg-PC643871
OWNER
GREG BLASKO&WHITNEY WINDMILLER
3295 CRYSTAL BAY RD
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. All provisions of laws and ordinances governing this 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 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 permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By ignature Date
06/27/17 02 : 08PM CDT Spring Plumbing LLC –> 9522494616 Pg 3
/4
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r�� OB C Y US�ONI,Y
�O� C'ity of[)rona � ���� �/U
i'.() Finz hh llute Rcc � Per�nit A���„`�/_
0 27SD Kelley Parkway
C'rystnll:�uy.nnNji�21 Appr�vedIIy:(IfRequired)'. .._....._.... ,_.._ ..... ,...
(7i2}2�'1-4liQ(1 //_ ���}
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`��,, �.4� CITY OF ORONO–WATER METER FUKM
`6��H04' (N'�tt• tiumr G+rrmils rn}ry myuire;�(��rnv:�l hy Ih��Rui}dingl�fficial and/n�T'uhlic Wnr1csT]cnaiYmcnt)
� GENER�L INI�'OkMATION
1. WA'1'I:R Ml:'1'I:ILS tttust bc pickcd up ttnd psid 1or etl Cily k�nll.
2. if nossiblc,fax in this application ahead of time;we will thcn cxlI yoLi and lcl yuu lu�uw wt h�ve
fhe water meter in skock. h ax Numbcrr:(9�2)249-4ti 1 b. Also,you can call ahead of time t.o make
�ure we received tlte t�x,ar to wam us th,�l lhe f� is ooming.
3. WA'1'LR Mk;TFRS muxt hr set �nd sealed by Oronq Wnter Deprart�ttenl (')52) 24'J-46U0,
upon cumpleliou 0[1nCtCr instnllatinn.
TYYE Ul�P�RMIT
(Lheck t1t1 That Apply)
�ltcsidcnt.ial(May Rcquirc Approval) [�C'c,n,mcrc;inl(Appruval Requirad)
�New Mcter ❑Add.itional Meter—Fnr: ❑ Replaccmcnl Mcicr
.lab 5ite/Owner.[ttformation:
�lte AC�c�retiti: � 1 .J �� `t ��J Y�� ��J[�LT
Uwner: Mailing Address:
C'ity: _.. — Zip:
H�ine Phone: Alternatc Yhone:
Contracu�r tnformation:
Contractor: � 1 l,f`L �v�1� Contact Person: ���' `cf' ���� (�"'"� (�1/�
Aa�r�ss: f I K73 I�h-�{w e� State License#: �t�, � ��`" �l
Ci�y: � ��-�""` Zip:�yy�cpiration Uate: ����� / ��
k�hone: ��D� ��� �77�� Alternate Yl�one:
06/27/17 02 : 08PM CDT Spring Plumbing LLC -> 9522494616 Pg 4
/4
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WATER METER PERMIT FEES
WILL BL CAULULATED BY C;l'1'Y 5'1'A�F
❑ 5/8"METER- ❑ 3/4"MF.:'[�F:K- �1„M�TL�R-
L,f 5/$"HORN • ❑ 3l4"HC)RN - �'1"11UliN -
❑ °�WATFR NiF.TER ('1'HF:tiE;WILL HAY�:TU u�:SYLCIAL ORUEI�D&PRIC�S DLT�RMIN�D)
1. IvlETER FFF: � _...____
�, FTORN F E E $
3_ '['n'1'AL C'ERMIT FEE(Add Lincs]-,7 Ah�iwe) � �� �L_��v
C1TY-USF,t)NLY
* I�or Current Pri�ing Ref'er to C'urrent Year -Water Meter Pricin�C:liart *
BRAND; . _ _. ED2F11 RDG3 �
y„
SI'L�: ❑.S/R" ❑3/4" � 1'' ❑Other " 53944763
sE�AL#: _ ._._ . III I II I I II II IIII II II
F,SIt l'H[GH tt: �J�Jr�J 3.�� �" 6 .._ (if applicablc}
ADDITIUNAL iN�'(�RMATION • WA1'liR 1VIETFRS
"1'l�e uod�rsigncd hcrcby �p�lies Lo tlic City nf Orono for issunnce of a water meter pennit, a�rc;ua
to do a.l l work in strict accordai�ce wiih the�ndinances of the Cily and the rcgulations of the 5tate
of M�nnesota,�nd certifies th,al a.11 �tatements made on this app�ieatitm are,true and correct.
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