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1988 Overland CirRESIDENT / OWNER Name: C LLt 0 Willi I la Phone: LoT I `7 `l `7 I I ® I V /,/D Address / City / Zip: , v � ' ` vema ' M L4 r CONTRACTOR Name: S I c License* f , Address: 131 L City: State: Zip:Shakk® eo, rte 9524454803 Contact: Email: TYPE OF WORK New ('Replacement Repair Rebuild _ Modify Space _ Work in R.O.W. _ _ _ Description of work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater Add Plumbing Fixtures ( Main / — Lower Level) Lawn Irrigation ( RPZ / PVB) _ Water Turnaround Septic System New _ Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing "Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 1 10 1 ` ° CityofEaali 3830 Pilot Knob Road Eagan MN 55122 ED Phone: (651) 675 -5675 Fax: (651) 675 -5694 JAN 10 2011 Applicant's Printed Name Opel Staff: � 2010 RESIDENTIAL PLUMBING PERMIT P APPLICATION j Date: 1` O 1 Site Address: O O V tJr (/w' ' 0 y Tenant: U O A dr r ► YL-1 Applic (it's Signature Use BLUE or BLACK Ink 1 Permit #: Q1701 f Permit Fee: � ✓ OV Date Received: J Suite #: CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454 -0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval 4' fans. FOR OFFICE USE Required Inspections: Reviewed By tough -In Air Test /A- Y 10 4E r----- For Office. se Permit City of Ea b I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: j Phone: (651) 675-5675 j Staff: I Fax: (651) 675-5694 I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION 7 7 f Date: 7 f! Site Address: 1'779) i 21 1 c 1`t~ I q 94~1 1 n~ e`5/cor~lL ,r ? l r'C!1' "tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: & xeil) Construction Cost: Lr>C~ Multi-Family Building: (Yes- / No CONTRACTOR Name: L-2 /,r/ ife. License Z~lb Address: /G>G~ ~dG1 7YY~zai' 5-xe-1 l e 2'Y,:0 City: State: /1W Zip: -533 . ) Phone: /C-'1 3 (0 b4,0 Contact Person: /`7i p SCf7 _ COMPLETE HI AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) Energy Envelope Calculations Submitted In the last '12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer Dater Contractor: Phone: NOTE, Plaits and supporting,da.curments that you submit are'considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets: I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of I Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in occordance with the approved plan in the case of work which requires a review and approval of pla . i x 'A) V►~ l~Vls C~_ x Applicant's Printed Name Applica s °gnature Page t-3