HomeMy WebLinkAboutBP 2000-00350 Sewer & Water Connection --City of Oak Park Height,,., METER NO:
14 8 Oak Park Blvd. N. #; )7
Oak Park Heights , MN 55082-2007 PERMIT No. : 0000350
651/439-4439 FAX: 651/439-0574 DATE ISSUED: 11/08/2000
Address 5650 Memorial Ave N
PIN : 06-029-20-24-0018
Legal Desc Subdivision WATE ADDITION
: Lot 4 Block 1 Parcel
Permit Type : Building
Property Type : Commercial
Construction Type : Sewer And Water
Activity •
Sac Units 2
Utility Connections 18526
Water Meter Fee $350.00
NOTE: INSTALL PER MN STATE CODE AND LOCAL ORDINANCE REQUIREMENTS. THIS PERMIT
IS ISSUED FOR INSTALLTION OF SERVICE FOR CITY WATER AND SEWER.
OWNER WATER METER $350.00
Human Services Inc. UTILITY CONNECTIONS $18, 526.00
7066 Stillwater Blvd N SEWER FUND $30.00
Oakdale, MN 55128- WATER FUND $60.00
METRO SAC $2, 200.00
APPLICANT Total $21, 166.00
HUMAN SERVICES INC. Paid with check # 34470
7066 Stillwater Blvd N
Oakdale, MN 55128-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be
performed according to : (1) the conditions of this
permit; (2)the approval plans and specifications; (3)the
applicable city approvals, Ordinances, and Codes; and,
(4) 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.This permit will expire and become null and
void if work is not started within 180 days, or if work
is suspended or abandoned for a period of 180 days any
time after work has commenced. The applicant is
responsible for assuring all required inspections are
requested in conformance with the Minnesota State Building
Code.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of _ ,, 3 /rso 11 / 31 7
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-1, Oak Park Heights I3' g3y,y
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14168 57th Street N.•Box 2007•Oak Park Heights,MN 55082•Phone(651)439-4439•Fax 439-0574
1" Water Meter Receipt
Commercial Water Meter 1.5 to 30 GPM
Installation Site: 57 5-0 ;Yi 0 met-L:10 0 Owe .3i •
I
Contractor:
Meter Type and Size: Sensus SRII 1 inch ECR 1000 gallon read
Serial No: 5j I5 y (o 8 10'•] ECR Number: Ili q Co 0 q;�
Radio ID*: 15'7 3 �.6-- Date Installed: ( `/ z 2C, 1a(W^
Utility Account No.: g Sewer &Water _Water Only
With Radio
Meter Cost: $155.00
Flanges: $10.00
Radio Read*: $130.00
-
Sales Tax: $19.18
Freight/Admin: $35.82
Total Deposit: _j $350.00
Check Amount & Number: s 1 . ,i II-1 A1-14._ : Received by:
i
Meter Received By: 41.111
Date : g/Q '/o c
*Radio transmitter to be installed •1111
after meter installation.
To avoid damage, the meter must be installed in accordance with the attached installation
guidelines.
Routing:
1. Public Works Foreman(Install Radio)
2. Public Works Administration (Establish Account Number)
3. Utility Billing Clerk(Open utility account)
4. Property Folder
Updated 5/23/00
TREE CITY U.S.A.