2015-00327f
City of Fridley
PURCHASE ORDER
Date: 04/08/15
Purchased By: Ron Julkowski
Phone:
BILL TO:
City of Fridley
ACCOUNTS PAYABLE
6431 University Avenue NE
Fridley, MN 55432
COM DEV
Vendor: TIM'S QUALITY PLUMBING INC
225 County Road 81
Osseo, MN 55369
Vendor #:
ACCOUNT
NUMBER
PROJ
CODE DESCRIPTION
AMOUNT
101-0000-322-3041
Plumbing Permit Fee
28.00
101-0000-205-0000
State Surcharge Fee
5.00
TOTAL j $ 33.00
COMMENTS:
Job was cancelled for this address - refunding state surcharge fee and permit fees @ 80%
Permit 2015-00327 on 03/02/2015
By signing this document below I here To authorize payment and that the goods 'and services have been received
or rendered and all City guidelines have been followed in the procurement of the listed items.
Purchaser/Supervisor
PINK COPY TO ACCOUNTS PAYABLE
Department Manager/Date
X1/0'0 U
TIM'S QUALITY PLUMBING, INC.
ACCOUNTING OFFICE
225 COUNTY RD 81, 2ND FL
OSSEO, MN 55369
763-424-3258
MARCH 11, 2015
CITY OF FRIDLEY
BUILDING INSPECTIONS DEPT.
6431 UNIVERSITY AVENUE N.E.
FRIDLEY, MN 55432
RE: Permit #: 2015-00327
We filled out the paperwork for a permit to have the city of Fridley turn off the water so we
could replace the valves at the meter. As it turned out, when the plumber got there he only had
to tighten the packing nut & they stopped leaking. Therefore, we need to have you cancel the
permit # 2015-00327. We sent in a payment by check for the $40.00. Could you please refund
us the appropriate charge (we understanding it will not be the full $40.00)
Thank you for your attention to this matter.
Sincerely yours,
1'
Mary
Tim's Quality Plumbing
Permit No.
CITY OF FRIDLEY *2015-00327*
DATE ISSUED: 03/02/2015
• 6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
57L -36U4 YAX:
MZ -4977
AliVICEba . /Clay ]JAULAN Ln At;
PIN : 123024120051
LEGAL DESC : MEADOWMOOR TERRACE RECEIVED MAR 2oi�t
: LOT 17 BLOCK 1
PERMIT TYPE : PLUMBING - FIXTURE BASED
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : VALVE REPLACEMENT
NOTE: CALL 763-572-3566 TO SCHEDULE SHUT OFF.
CALL FOR FINAL INSPECTION WITHIN 10 WORKING DAYS.
REPLACE MAIN BUILDING VALVE BEFORE THE METER
APPLICANT
TIM'S QUALITY PLUMBING INC
225 COUNTY ROAD 81
OSSEO, MN 55369-
(763) 571-0454
Minnesota State License #: PLBG-PC643755
OWNER
CARLSON RONALD H
7689 BACON DR NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 180 days or if construction
or work is suspended or abandoned for a period of 180 days at
any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any o er state or local law
regulating construction or the p or n ce of construction.
Applicant Date
Bldg Ins�k��� ' Dat / C
VALVE REPL FEE, RESI
STATE SURCHARGE, PLBG FLAT
TOTAL
Payment(s)
CHECK 4470 00327
35.00
5.00
40.00
40.00