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1929 Jan Echo Tr           þ ý ü ÿÿ þ ýüûüýý     úþþÿÿ ýùø÷          ÿ  ÿø  ûúù ø÷  ö  õô  õ öõ ø÷ ó  õ÷ö  õô  õ ò  õûñ ò  õ ø÷ ò ú úõ õû õ óúù õð  óúù õ ûñ ïõî   ÿ íìð þ ý üëëí ìëíìëíê  õé èöûçæõöôåäëããê öú  ûúõ õý éâ äëã ã ë  õôôó ø òñ ÷÷   ÷úùý  ñ  õ íìðãüß  à þ  õ þ ý òóëëíþ ý òóëëêë èìëåíìëíê  õ ùø   ý   á õ   ÷÷      õ õõ   ýõ ÷ø    ÷÷ ù û   ò  û ú  øþ ý îõ  ã ÷÷ æ õ ûý úõ ú øûý úõ 'Yell 1 For bWAce. Use City o a Permit I I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received; I Phone: (651) 675-5675 j staff: Fax: (651) 675-5694 200 RESIDE NTIAL BUILDING PERMIT APPLICATION /9,17 M37 Date: l Site Address: 11 r 11`~ f 24132r c'.• j' ItLk rte. i Tenant: Suite I RESIDENT / OWNER Name: Phone: i Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of world' xey~ i, Construction Cost: E Multi-Family Building: (Yes / No---) / CONTRACTOR Name: ~ L~1 Y>/! j~~Y/ 1'7C'~ License Address: /~~GGYt7rt2z°!'t f z~? ~G~ City: J: ?e~/~.~5 State: //I12t'I Zip: Phone: Contact Person: ~"'7r /W~~ • COMPLETE THIS ARE, ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Core Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) m Energy Envelope Calculations Submitted In the last 'l 2 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 & Water Contractor: Phone: NOTE. Plans and sypporitin,gdocuments that you summit 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 : aee,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 ' 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 ,ccordanc/Iewith the approved plan in the case of work which requires a review and approval of plans. x v~ App icant's Printed Name Applicant's Signature Page