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1916 Shawnee RdCar of EAGAN R 3795 pilot Knob RSA C-1 Eagan, MN 5$125 Zoning. ?? MIT NO.: Owner; DATE: Address No. of Units: ; site Address: Plumber: a lCQS'o 0 0 ? ` .. l agree to comply with ordinon... the City of Ea • Son Connection Charge: Account Deposit: By Permit Fee: Date of I Surcharge: nsp_; Insp,; Misc. Charges: ?_ Total: ??- Date Paid: CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT & DOLLARS +eo CASH ? CHECK FOR 7 1, (L?kr ?)) FUND I CODE I AMOUNT Thank You /,+} - B Y White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition CEDAR INDUSTRIAL ,PARK Lot Pt. 4 Blk 2 Owner F?`. ?tln?-r c_ °;,?r -Street T;?.U "tc4?? U 10 16800 042 02 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1970 520.00 .1; 2 - 00 10 STREET RESTOR. 1972 556.00 55.60 10 GRADING SAN SEW TRUNK 1968 505.65 16.86 30 969 75 -3-81 * SEWER LATERAL s?f ()A I 6707 18 r.7n 77 1 (1 . 6 36 47 A010060 4-3-81 WATERMAIN * WATER LATERAL WATER AREA 1977 2109.25 140.62 15 1406-20 A01 0060 4-3-81 STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 1587.30 19588 6/26/80 WATER CONN. BUILDING PER. SAC 157500 195RA 196 180 6 PARK . . CITY OF EAGAN 1i'CATER SERVICE PERMIT 3795 Pilot Knob Road - PERMIT NO.: { Eagan, MN 55122. DATE: Zoning: No. of Units: owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinan Misc. Charges: Total: By Date Paid: Date of Ins .: 25` Insp.: -r - g- CITY o>F, faGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Total: Insp.: -` Date Paid: te .. --�- CITY OP EAGAN SEWER SERVICE PERMIT 3775 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the City of Eagan Connection Charge: Ordinances. / Account Deposit: (Qi Permit Fee: B Surcharge: y Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: • Na ���1(�J-�/G�/�f oti Use BLUE or BLACK Ink � For Office Us���� I ������ I I ���� U������ � � � Permit#: � /� � w I 3830 Pilot Knob Road ��� �O�T I Permit Fee: � Eagan MN 55122 j / � Phone:(651)675-5675 ��; � Date Received: /� � Fax:(651)675-5694 � I I Staff: � L-------- -------� 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Dat�:_l,V ' �° �� � Site Address: ����— I G��� �6������C.- h-� ' �C���6� � �`'�-� Tenant: Suite#: �� . � ' � � � � ' '" ��`� Name: �1.Q: �iLQ � Phone: �� D"1'-1' OI� ����1@l'����8�'� � n /�, j �7 ` ����.��s . �.: ;; ,� Address/Citv/Zip: ����lJ �� �lL�• � �d.i�LSI�I � (l. ��1.� �J�3 / ����N.,,. x�� � " , ' • - ��� � , �� Name:�Qf''�`1e� ��QC��I(�(ll�Z�-Q License#: �.��t`� h��6J� ����%fi �� � {^ I � 1 I , fy y � � Address: I�k I� e,11�'�,� �' �• City:��-br�S V l��l.Y_ ,����tra��r��, � �k � r� q I �,� �� State: �1v Zip: ����� Phone:����� �JI�OI� '� ::,;fi,��.::,,�., ��. / `P I �,�,,� ���� Contact: I�l(i Email:Sh�C.1�. OL ��( �1 / I;� �� { � New �Replacement Additional Alteration Demoliti ' '."'T�pey,t7f'�i1f+DT� Description of work: � h�-�'1 C'JI -- j� £ hi�ETE ��f tn�wc�b���r�gr�und na�unt$d rt���han�ca�equ�prr�ent i��qu�r��i to kkrGe s+creen�st�y C�y; : ��de'. f�le��s�cnr�t���h�M��F��a�a��a`��P�r;#or�n�crrrna��n c�r�ermrit�d scr�nin���:f�iods. �' RES/DENTIAL COMMERCIAL � ` s � „ ,F - ', _Furnace _New Construction _Interior)mprovement y �� Air Conditioner Install Piping Processed `.�_�+�Cltl���?��'� ��', — — — � _Air Exchanger �as ✓�xterior HVAC Unit �:� e��, — — � �� _Heat Pump _Under/Above ground Tank �Install/_Remove) ���,z - ._ � Other RESIDENTIAL FEES �60.�3�J R4::s9mam Add or a!tsr�t�on to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE � COMMERCIAL FEES Contract Value$ ���v��� x.01 $55.00 Permit Fee Minimum / $70.00 Underground tank installatioNremoval =$ �'J'�U Permit Fee "If contract value is LESS than$10,010,Surcharge=$5.00 _$ �•�� Surcharge* *'If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 **"If the project valuation is over$1 million,please call for Surcharge =$ �, QO TOTAL FEE I herebyacknowledge 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 ptan in the case of work which requires a review and approval of plans. x _��1Gf�G �Q�C� x ApplicanYs Printed e App nt's Signatur ��`�R���r4�+������ ����� �r_ �3�3 _ „o"��"�rk�c ��� '� � . i �� � s. : . ��y �-a � - '� �B�Kt[�B`C�¢�lt��Gti!t?11� �j�,�� 4 / / ��� ����'�,�a1ti$1tiR$��r�' `��� �...�� i r°z#�� �� . ..• E `' ; ; , t r , � u ,. �" j �-`,�r�'��r�roun�i ���,�,�n AirT��t �;�as,Seru'�z�7�t.. tn-�t�ai�"� ��F�n�l.;� E�����;�er�n�