HomeMy WebLinkAbout2013-00422 - water meter 11 11
, ,� CITY OF ORONO I �' 11
* 2 0 1 3 - 0 0 4 2 2 *
2750 KELLEY PARKWAY DATE ISSUED: 05/31/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 2359 OLIVE AVE
PIN : 17-117-23-44-0076
LEGAL DESC : WILEYS NAVARRE ADDN LAKE MTKA
: LOT 018 BLOCK 000
PERMIT TYPE : WATER METER-RESIDENTIAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER METER-RESIDENTIAL
NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT.
TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613
NEPTUNE-5/8"WATER METER
SERIAL#93297732
ERT HIGH# 1834801657
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPLICANT WATER METER RESIDENTIAL 245.70
SABRE HEATING&AIR COND INC. WATER METER RESIDENTIAL HORN 68.97
15535 MEDINA ROAD TOTAL 314.67
PLYMOUTH,MN 55447
(763)473-2267
OWNER
Bamboo Properties LLC
1171 NORTHLAND DR
#100
MENDOTA HEIGHTS,MN 55120-
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 or due cause. �}
5 / > I / 13
Applicant Permitee Signature Date Iss 4 By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
05/29/2013 WED 8: 24 FAX 763 473 8565 Sabre Plumbing & Heating 10001/002
O of Orono
-veil P
P.O.Box 66
1750 Kclley Parkway > z r z tet 4 x 3 s <�. < r
Crystal Bay.MN 55323 4,4 exr 041t,O'`r s z'
/ (952)249-4600 F, c**s`;l��R�� i k £ K t
�taa��xs. ��.., i ..•:+� 7
CITY OF ORONO—WATER METER FORM • �J
(•Note:Sonic permits may require approval by the Building Official and/or Public Works Department•)
,....�L . ilin .`�t ,terS, E ' "Srr?a Y* s S p.�tr'"'v'Y O, r \ .,B t ` M >'
.... .aw..�.... ,v....,..;7'F u�,.,.�`�.+r.,g1`, ..° .. ...,..cs..-. '�'.,.�;._3tKr_ry.
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 meter installation.
61;o:-.;
} e'z ✓ r°�5Oic;t�' {.�•�+�xLe7?� .: it�,,,e�' y
(Residential(May Require Approval) Q Commercial(Approval Required)
( New Meter Additional Meter—For: Q Replacement Meter
fa r �Fr yrs F;, z °r s�°. A
Site Address: 2 3i-3 6(tV/L. \ JA t
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
ka1�F>yYcre r. e.ecr7� �� � �7 5c ,
n Cms «s <.r •> ,xt s
Contractor: „ ItY ti I,i). 1 Contact Person: v)
Address: 1‘;;,,i3.)`„) 1'��ttlA L4t!>, State License#: )e 6)4b.7)11-
City: L`:"v° 1 ! Zip:554 j Expiration Date: i2 ')i" 2.6( _7)
Phone: -11i77.) 41?) L L 1 Alternate Phone: 1 'J- L' 3- --hiq
05/29/2013 WED 8: 25 FAX 763 473 8565 Sabre Plumbing & Heating 2002/002
((y { ) k1l( ( Sk C� ((
d.....wiu _..._ �....u_'��£KC Fp k) F 4 b C,"1' �� \.,�C ��.¢s�n� ��'�^���E -ELE' } f`
d�5/8"METER- 3/4"METER- [] I"METER-
( 5/8"HORN - 3/4"HORN - C7 1"HORN -
® "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED)
I. METER FEE: $ /-5:70
• ` 0
2. HORN FEE $ 9 7�
3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ :0944/1' l
* For Current Pricing Refer to Current Year- Water Meter Pricing Chart*
BRAND: k) ' —t,� h-.
SIZE: 1215/8" 0 3/4" ❑ 1" 0 Other
SERIAL#: c3 c -13 a.
ERT HIGH it: III III IIII II III I III 1111111 II ifa
1834801657 (' pplicable)
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 all statements made on this application are,true and correct.
Applicant:;^ (1./ 1:6�.
it.f//i y � � t , 4j, Date: ` '21.1 Z(/
r1 `
H
Original: 1-Address File
Make Copies For: 1-Utility Billing Department 1-Cash Drawer