HomeMy WebLinkAbout2018-005221 permit void •
CITY OF ORONO I 1111111H 11 1111 1
* 2 0 1 8 — 0 0 5 2 2
2750 KELLEY PARKWAY DATE ISSUED: 04/25/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2330 OLIVER HILL
PIN : 34-118-23-33-0073
LEGAL DESC : OLIVER HILL
: LOT 3 BLOCK 1
PERMIT TYPE : WATER METER-RESIDENTIAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER METER-RESIDENTIAL "`
NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT. 1\
TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4600
5/8"NEPTUNE METER
ERT#1548098034
SERIAL#36789176
WATER METER RESIDENTIAL HORN WATER METER RESIDENTIAL 1
APPLICANT WATER METER RESIDTIAL 253.00
SABRE PLUMBING&HEATING WATER METER RESIDENTIAL HORN / 82.02
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
MANN,BRENNA&CHARLES
2835 GARLAND LANE N
PLYMOUTH,MN 55447-
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.
P-e—itS 6 S
Applicant Permitee Signature Date Issued Signature Date
04/24/2018 TUE i435 FAX 763 473 8565 Sabre Heating & Air Cond u004/007
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CITY OF ORONO WATER METER FORM
Nolo',Sonic permits rim)rqui. ;num,n1 ly hvfl iihuiu Ornilairdior Public Works Dcparrnioni
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I. WATER METERS must bc 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:(95'2)219-4616, Also,you can call ahead of time to make
sure we received the lax,or to warn us that the fax is coming.
3. WATER METERS must be set and sealed by Orono Water Department (952) 249-400,
upon completion of meter installation-
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D Residential.(May Require Approval) 13 Commercial(Approval Required)
ri"New Meter 0 Additional Mctcr—For: 0 Replacement Meter
Site Address: 1'530 QtNA4' tut, !L.Owner. Mailing Address-.
City: Zip:. -
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Home Phone: Alternate Phone:
FT6f,a0.'0473.1117:ZW:\qtaiVM,'141'417177;-.-7-gfirr
- Contractor: YLI I ' Contact Person:
Address: 5'535 YVV-Ct 1L State License#:
City: 1)11W1r14.44.) Zip:591441 Expiration Date: 17:3 U 1
Phone: Alb•l211 Alternate Phone: 1t/b.2.5 -4-if8
Q4/2(:',/2018 TUE 14: 35 FAX 763 473 8565 Sabre Heating & Air Cone UO 05/007
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"WATER METER ch llresE WILL HAVE TO BE SI'EC1AJ.0anr.R.Fl)s,I'I'lTCE8 OETER.A1INF.o)
I. MITER FEE:
2. HORN FEE $
3. TOTAL.,PERMIT FEE(Acid Lines l-?Above) `* 35SC2-,
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LL* For Current Pricing Refer to Current Year-Water Meter Pricing Chart
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1548098034
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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: b ... Date: ij-Zi-i-2.aI V_
Or'iiinal.• 1' Address Pile
Make Copies For: I-(fulily Billing Dctpa smell( l-Cash Drawer