HomeMy WebLinkAbout2018-00519 permit void CITY OF ORONO II I 2I I I�1 I I� 11 I I I I I I I 111 I�
2750 KELLEY PARKWAY DATE ISSUED: 04/25/2018
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 600 PINEHURST CT
PIN : 06-117-23-34-0007
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 19 BLOCK 1
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)249-4600
5/8"NEPTUME METER
ERT# 1548109214
SERIAL 36789178
WATER METER RESIDENTIAL HORN 1 WATER METR RESIDENTIAL 1
APPLICANT WATER METER RESIDENTIAL 253.00
WATER METER RESIDENTIAL HORN 82.02
SABRE PLUMBING&HEATING
15535 MEDINA ROAD TOTAL 335.02
PLYMOUTH,MN 55447-
Payment(s)
(763)473-2267 CREDIT CARD 4946 335.02
Minnesota State License#:mech-MB3392,plbg-PC645349
OWNER
Gonyea Homes
1000 BOONE AVE N
#400
GOLDEN VALLEY,MN 55427-
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
04/24/2018 TUE 14: 34 FAx 763 473 8565 Sabre Heating & Air Cori 0002/007
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CITY(W ORONO "-WATER METER CORM
("Note;Some pcfn:its may require appy oval lay the Build'tog Offirial and/or Public worl,R pcoo,Lmem•)
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I. WATER METERS must be picked up and paid for at City Hall.
2. II"possiblc,fax in this application ahead of time;we will then call you and let you know we have
the water ureter in stock, Fax Number:(952)249-4616. Also,you can call ahead of time to make
sure we received the lax,or to warn us that the(ax is coining.
3- WATER METERS must be set and sealed by Orono Water Depar4urent (952) 249-4600,
upon completion of meter installation.
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❑Residential(May Require Approval) [{Commercial(Approval Required)
El New Meter [] Additional Meter—For;__ f]Replacement Meter
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Site Address: tDOO V1l'1MMVJk 0:4"1&44 - - . .--
Owner: Mailing Address:
City: Zip:.
Home Phone: Alternate Phone:
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-- Contractor: ahit tOIACM Contact Person: AMA•✓ ,_r�
Address: I 5515 "1 State License#: �VjC645349
City_ Nr►n4WI zip:5544i Expiration Date: 11'31. 20t9
Phone: ` 6,h.g13' 12,1.1 Alternate Phone: 153'41�'
04/24/2018 TUE 14: 34 FAx 763 473 8565 Sabre Heating & Air Cond UO03/007
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PI 5(8"MI'Tr<- 0314.-NI IM It [i 1" METER
Er 5I8"HORN . ❑ ;/d HORN - 0 1"11ORN -
❑ ._.._._..__"WATE12 METER (THESE WILL HATE TO III,:SPECIAL.o(WERr•;U&raicES ot, mitnuNEcn)
1. M1i 1ER Hill: $ ,__
2- HORN FEE $._.___... ..
3. 'TOTAL PERM FEE(Add Lincs 1-1 Above) S_. 35,02_, _
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” For Current.Pricing T4 Refer to Current Year-Water Meter Pricing Chart a
BRAND; r V n p, ED2B11 RDG3 ti',_
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SIZE: ,5(13" ❑314" ❑ 1" L]Other 36789178
SERIAL 0: 111111111111111111111111111111111111111111111111111111
- 1548109214
ERT HIGH ri: - III II III111111111111111111111 — (if applicable)
1548109214
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The undersigned hereby applies to the City of Orono for issuance of a water mctcr permit, agrees
to do all work in strict accordance with the ordinances of the City and the regulations of the State
of Minnesota,and citifies that all statements made on this application are,true and correct.
• Applicant' c OW/1 Loi,,,,,„ __________ llatc' L 201, ,
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Original; 1-Address File
Make Copies Par. 1.- thinly Billing i)parineenl I-C'nsh Drawer