HomeMy WebLinkAbout2018-00523 permit void CITY OF ORONO I I I I I I I I I I II I I I I I i l II I i l l l II
* 20 .18 — 00525 *
2750 KELLEY PARKWAY DATE ISSUED: 04/25/2018
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2320 OLIVER HILL
PIN : 34-118-23-33-0074
LEGAL DESC : OLIVER HILL
: LOT 4 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"NEPTUNE METER
ERT 1548098904
SERIAL#36789177
WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL
APPLICANT WATER METER RESIDENTIAL 253.00
SABRE PLUMBING : HEATING WATER METER RESIDENTIAL HORN 82.02
15535 MEDINA ROAD ti TOTAL 335.02
PLYMOUTH,MN 55447-
Payment(s)
(763)473-2267
CREDIT CARD 4946 335.02
Minnesota State License#:me -MB3392,plbg-PC645349
OWNER i
HOVDE,OLE&CARLIE
2320 OLIVER HILL
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 Any time for due cause.
2/17 '75;/5
Applicant Permit=Signature Date I sued By 40. ature Date
' 04/24/2018 TUE 14: 35 FAX 763 473 8565 Sabre Heating & Air Cond 2006/007
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CITY OF ()RON°-- WATER METER FORM
(°Nntc:tiomr permils may n:gLiirc vim o‘,11 I,y ihr Nnildinp Official and/or Public Wu,ks Della,uncut')
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L_ WATER METERS must be picked up and paid for at City Hall.
2_ If possible,fax in this application ahead of tilnc;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 fa+:is coming.
3. WA7'LJR METERS mast be ret and sealed by Orono Water Department (952) 749 4600,
upon completion of meter installation.
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Q Residential(May Require Approval) ❑Commercial(Approval Required)
[ New Meter 0 Additional Meter—For: ❑Replacement Meter
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Site Address: _2.?J70 C11YLy 1 , _ ----.,._.
Owner: Mailing Address: --__
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Home Phone: Alternate Phone
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• COntract0r: W Contact Person: — 4111141.9.
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Address: G . i t. State License it: &CI
City: Aplinion Zip:155414 ) f cpiration bate: 1-2._'31'2.01/
Phone: '165 .1413. 22_L1 Alternate)'hone: 'r}jO �x • '��� `
04/ 4/2018 TUE 14: 35 FAX 763 473 8565 Sabre Heating S Air Cond Z1007/007
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❑ .- "WATER METER (THESE wu.,r.I+nvr,:rcr BESPECIAL ORDERED&PRICES r)ETERMINED)
I. METER FEE:
2. HORN FEE
3. TOTAL I'ERMfC FEE(Add Lincs 1-2 Above)
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'4 For Current Pricing Refer to Current Year- Water Meter Pricing Chart
BRAND:
SIZE: �1 5 R'° I—I 114" L] I" ❑Other „ 3 `-t✓--7 5 J J 7
1111111111 III II III II IIII II II
SERIAL#: 1548098904
ERT HIGH#: 1111111111111111111111111
1548098904 1111 (if applicable)
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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 cettifres that all statements made on this application are,true and correct.
Applicant: a4.4..1,7 La,uktiDate: _.4'14-2.40J9
Original: I-Address Pile
Make Copies For; 1-(Willy Billing Deportment 1-Cash Drawer