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HomeMy WebLinkAbout2010-01000 - water meter i CITY OF ORONO PERMIT NO.: 2010-01000 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/14/2010 952 249-4600 FAX: 952 249-4616 ADDRESS 685 OLD CRYSTAL BAY RD N PIN 33-118-23-21-0002 LEGAL DESC UNPLATTED 33 118 23 LOT 000 BLOCK 000 PERMIT TYPE WATER METER PROPERTY TYPE INSTITUTIONAL-SCHOOL CONSTRUCTION TYPE WATER METER NOTE: 3"WATER METER-NEPTUNE-SERIAL#70235953-ERT HIGH# 1831271458 WATER METER COMMERCIAL HORN 1 WATER METER COMMERCIAL 1 APPLICANT WATER METER COMMERCIAL 1,234.41 SCHOOLS,ORONO PUBLIC WATER METER COMMERCIAL HORN 63.88 765 OLD CRYSTAL BAY RD N LONG LAKE,MN 55356- TOTAL 1,298.29 OWNER SCHOOLS,ORONO PUBLIC 765 OLD CRYSTAL BAY RD N LONG LAKE,MN 55356- 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 a y i e fo a cause. �g Applicant Permitee Signature Date IssuU By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY USE ONLY O¢OO City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By:(If Required): (952)249-4600 'mOx� CITY OF ORONO—WATER METER FORM (*Note:Some permits may require approval by the Building Oficial and/or Public Works Department') 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;wevill then call you and let you know we have the water meter in stock. Fax Number:(952)2494616. 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) 2494600, upon completion of meter 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: t�' ©�� czi 'gl(-eq�l01 Owner:0/°OX4 SCA-®D 1-r Mailing Address: City: ��� Zip: � Home Phone: Alternate Phone: Contractor Information: Contractor: uj-/-/A6&V Contact Person: Address: 0 /P� State License#: City: Lor, c� oZO ZipS5-5S-'P Expiration Date: Phone: Alternate Phone: T WATER METER PERMIT' ES" WILL BE� [TLULA'FED BY CITY STAFF . ❑ 5/8"METER- ❑ 3/4"METER- ❑ 1"METER- [3 5/8"HORN - ❑ 3/4"HORN - ® 1"HORN - ❑ "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) 1. METER FEE: $ Io?.3 SF• 4 1 2.-NQW4-ft� Pl�e !tet $ 0,B$ 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 u e SIZE: E15/8" ❑3/4" ❑ 1" ❑Other _" SERIAL#: -70,235 957 3 ERT HIGH#: 010111 Mul 11111111111 applicable) 1831271458 (if pp ' able) 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 with the ordinances of the City and the regulations of the State of Minnesota,and certifies that 11 statements made on this application are,true and correct. Applicant: Date: 0 6 � :Reset•�Fvrmi Original: I-Address File Make Copies For: I- Utility Billing Department I-Cash Drawer Peter Zimmerman From: Scott Oberaigner Sent: Thursday, October 07, 2010 10:32 AM To: Peter Zimmerman Subject: Need invoice for water meter Justin McCoy from the Orono schools needs a 3"turbine meter and flange kit in the amount of 1) 3"turbine meter=$ 1234.41 2) 1-flange kit=$63.88 TOTAL $1298.29 Please let me know when you have invoice printed so I can call Justin to pick up meter. Thanks. Scott Oberaigner Utilities Supervisor 2700 Kelley Parkway Orono, MN 55356 Main (952) 249-4600 Office (952) 249-4680 Fax (952) 249-4616 c