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1765 Bluebill Cir ÿî þýüýû þýý üûÿüûÿÿ úýýÿîíï ùèç è ßß ÿ þý÷ ú ñ øý ô ùø ùø õý ñ øý ë èé ø ô ð øý óü úò íø ï í í íý ò í ý í êôí àî í ø ø ý ýüê ôý íì ý ò ýè ü îýíí ê ý ñ æåæê ê öú ú ý ü ý çý æê äêãä çý ýûê õô ÷óò øøý ÷ ý ý÷í ù ü ú ý î÷ üöÿ ý ïî ãßáêñý ï èï Ûâý ô ö Ý ï âá Ýü èú ë éã ðýíýôðåß ýè ü ýýï ý ýøøýý ý ý î íý ýýü íøèýýøøý úý îâ ýúý ýôîþýüýð ý ê øøýà í úüý úüý CITY OF EAGAN WATER 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: agree to comply with the City of Eagan Surchtirge: Ordinances. Misc. Charges: — Total: By Date Paid: Date of Insp.: Insp.: CITY 6F EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: — Zoning: _ No. of Units: Owner: Address: _— — -- — — Site Address: -- — -- Plumber: — - 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: — — Permit Fee: Surcharge: By — -- Misc. Charges: - Date of Insp.• — Total: Insp.: -- - Date Paid: PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA110806 Date Issued:05/29/2013 Permit Category:ePermit Site Address: 1765 Bluebill Cir Lot:4 Block: 01 Addition: Town View 1st PID:10-77100-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Virginia A Timmons 1765 Bluebill Cir Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature O to `1 t t-1(01 61 u.4 G r Use BLUE or BLACK Ink For Office Use 21 j i Permit t City of Eap I Permit Fee: !,A • -157 3830 Pilot Knob Road 1 4 1 Gate Received: IQ Z~ 1 Eagan MN 55122 I t Phone: (651) 675-5675 1 Fax: (651) 675-5694 Staff. I t•----------------- I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION I-i3 Site Address: 17591~t;1 17G3 I~asS 171s7 'i~c.9 ~t•rcb~~Uni Ia Date: a Name: Phone: Resident/ Owner Address / City J Zip: s Applicant is: Owner Contractor ' Description of work: G> ` c ^ i Type of Work ~ y Construction Cost: -t , ao d Multi-Family Building: (Yes AJ No ) Company: " 140A_i Contact J~ I Address: (i ~''7, t)t.1C C*,(- JA- Z>. City: r Art a Contractor I q State; (Y1 1'J Zip: Phone: 2?0-0 l 4 License ~j~ Lg ~J 5 Lead Certificate /1✓ f3T~~cro'7 - / If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Le_J V COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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 & Water Contractor: Phone: W NOTE: Plans and supporting documents 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 L....e._..__ conclude that Le are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities I hereby acknowledge that this information is complete and accurate; that the work wil I he 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 of plans. Exterior work authorized by a building,pennit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. -A- L X ! Jelru t-`~3-C r'.jc C r x Applicant's Printed Name Applicant's Signature Page 1 of 3