HomeMy WebLinkAbout2010-00544 - water meter � w
CITY OF ORONO PERMIT NO.: 2010-oos44
� 2750 KELLEY PARKWAY
. ORONO, MN 55356- DATE Iss[1ED: 06/30/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2600 PHEASANT RD
PIN : 21-117-23-23-0023
LEGAL DESC : PHEASANT LAWN
: LOT 000 BLOCK 000
PERMIT TYPE : WATER METER
PROPERTY TYPE : RESIDENTIAL
COIYSTRUCTION TYPE : WATER METER
NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT.
TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613
WATER METER RES[DENTIAL HORN 1 WATER METER RESIDENTIAL 1
APPLICANT WATER METER RESIDENTIAL 394.67
SPRING PLUMBING LLC WATER METER RESIDENTIAL HORN 104.45
11473 KENYON COURT
BLAINE,MN 55449- MISC FEE 0.00
(763)614-7963 TOTAL 499.12
Minnesota State License#: 066807 PM PA1D WITH CC# 4012
OWNER
HADDEN,TIMOTHY&JULIANN
2600 PHEASANT RD
EXCELSIOR,MN 55331-
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 aze
requested in conformapce with the State Building Code.This permit may be
revoked at any time for due cause.
-�.�. �. � � �"�Q-r� l l
Applicant er itee Signature Date Issued By 'gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO
6/29/10 02 :32PM CDT Spring Plumbing LLC —> City of Orono 9522494616 Pg ;
3 r .
� � FOA C1TY TJ/s ONLY
Ciq�Of Ora10
� � � S�K�el]ey Aufcwey Dobe Et�coved; 1''emit i�
� r� G�yttal Dsyr MN SSSZ9 APP�O�BY�(If R09��Y
�����i . (95Z)2a9-4600
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CITY OF ORONO—WATER METER FORM
(•xoMr svwe pezmiks mor requi�eppiord b�r mn 9uuele�ol�eisl.nakr Pub�io wo�9e.nep�ttmme•)
i
C#ENERAL II�IFORMATiON '
�. WA1�A A+�TE��musL be picJced up end psid for at Ciry Hall.
2. �fiuc in this applioation aLosd of tiuyo;we will tba�caU��ou snd Jet yw k�ww we hsvc
the wate�meter in snock. Fax Number:(952)?A9�4616. Alao�you asa csll ahead a�tiaoe to mako
surc wo t�ooa�vod tho fix,or b wt►rn Ws thot tho thx is ooming.
3. WAT�R MI�T�RS must be eet and kded by Oeono Water Dep�rana�e (96a) a49-�600,
upoa oompl�iOa ottnehr inetalls�on.
TYPE OF PERMIT
Check 11�A 1
�R�ides�tia�(MaY Reciuire Agprovel) �Coana�cial(Approval Reqtsirod)
�New M�r ❑Additional Meter—Foc: O xoPiaoomom Meter
Job Site/Owaer iufotmstian: � '
Site Addres�: � `d� r �a S� �� ,
,
ow��:_� ` Mail�aadresg: 'S^D r� �
-
c��: l�h tr�,/+�t'��A z�p; S'S'0 l�-
Home Phoa�; Alt�rnata P'houe:
Ca�tractor Jnfiotmatin�o:
' ' � �i�
C;ontractor. � �n� Contacc Peraon:
A�T889: r��3 ��'L� State Licenac#: �I G �0�7
' .S�l� �-1 3 ���o
City: !uC Zip. Bxpiration Date: �
�oae� �(� ;- le<<l- �9G 3 � p►ltarnsto Phoue;
6/29/10 02 : 32PM CDT Spring Plumbing LLC -> City of Orono 9522494616 Pg '
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, .:� � , . �, ' .• .��va�t�z�,�F,R�'r F�s � , . , �, �
. � � . �WII:�:B CAF1L �' TBD BY CT,1'Y ST�0.k'F �. :' . . .
e5/8"MBTBR- 3/�F"11�TER- 1"METER-
5/B"HORN - � 3/4"HORN - "HORN -
0 "WATE811�TBR (�x�s�wa.c Bs�To 8S�CtAL c�D�D i PAIC�s D�ZSRA�f�D)
i. MSTER FEE: S
2, HORN FBE S
3. TOTAL 2'F.SdIIT FEE(Ad8 Lines 1-2 Abovel S
CITY-USE ONLX
�' For Curreat Pciaing Refer to Current Year=Water Meter Pricing Chart*
BRAND: XIGA�"�C11 �
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$IZ$: ❑S/8�� �3�4µ �1„ ' ��� ..
s��� .�'r 554 'f`fD
�x.T t�cx#: III III IIII I IIII II III II I I IIIII (if applicable)
182�40453
ADDITIONAL INFORMATIOTT—WATER METERS
The undcrsigned lte�eby applios to the City of Oroao fos ieauance of a water meter paraait, a,gress
to do all work irs striat accord�cc with the ordiaaaces o�tl�e City aad the regvJations of the 8tate
vf Mimiesote,ac►d ceztifies that al1 staocments made oa t6�s applioetion ace,truo arid cozreot.
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Make Copls+�For: 1-Ub1�q�Billing D�part�no�t 1-�a�DrwwRr
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