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3431 Highlander DrRESIDENT 1 OWNER Name: . 11 ,/ irr'1,, „i, ' L . 14 .0 . i..f.a: h one; 9a CTG1 4 f r te t f Address / City / Zip: Cd l �,[ r icy ! Y(.+ :1 .yam IV dif Applicant is: Owner Contractor TYPE OF WORK Description of work: / / . It` , A. A t r 'i.r /rl _ L A._ !.. Construction Cost: 11 / W O a I. . Multi- Family Building: (Yes / No CONTRACTOR / /^ Company: T D if A C Contact t:L ' V �L ? C Address: ( , City: T: /Au/3 t tt State: 11 Zip: 5.54/ 6) Phone: l eic9— 62 f II License 5: (FM I C� l5 [) Lead Certificate #: A-/A If the project•is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Phone: Phone: Phone: NOTE: Plans and supporting:document§ that you submit are, consideredto b.e public information; Portions of the information may be classified as nonpublic ~if'you provide specific reasons thef,would permit.the City to conclude that they are trade secrets. Jun. 8 2011 2:44PM SELA ROOFING Date: City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675 -5694 Applicant's Printed Name (r . 4 1?-93(0 Date Received: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION s l Site Addres i4 /4 . . ( `a A�, 1 `t 21 f ni No. 6530 P. 11 Use BLUE or BLACK Ink t.F.affFEG Permit #: Permit Fee: /33 Staff; CALL BEFORE YOU DIG. Call Gopher State One Gall at (651) 454-0002 for protection against underground utility damage. Call 4$ hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecalJ 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 plans. x 444 ka uiw x Applicant's Signature Page 1 of 3 k � A E SER ' RMIT r od fRoa P RM IT NO , ► 551 . { DA x ; ; , „ " £ o ofUn 3 i m ner * ' "- • �l ress A ' ` . e Address, .,.. _ + < '. �.� dumber sa a ,� Conne Charge . ''� W 4 eter No i � Accou Dep osit Per Fee: R eader N a t o co mply with, C•ty of Eogan Surcharge "' Ordinance Misc Charges * '� ' Total' 1 ' .e Dat Poid Date of I nsp . . r 1 nsp.: c T ' , �` SEWER SS ERVICE PE ` . kno � Ro ad`, E'RMIT Ett „i �. P � ; M 5 5122 E Zonins� ' � �jo of unit i r r. tee r ,. s _ # - z ' f; 1 . � - ne '� l4: e ,y'£ � . q rr Y ,, , r^ r s y "ni2 ,�"r z falum ¢g ree f u comply � Ci o ag " $ , ,t r ne o a 3 �.. �- ' " O rdinances - ' co fat „epo s " . erm� Fee. �' Surch rye g Miss Ch rg a Dat of � I nsp : _ � �" Totol b r a / ; fi r .a r In s p .: y Dat Paid "t PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA123644 Date Issued:06/12/2014 Permit Category:ePermit Site Address: 3431 Highlander Dr Lot:3 Block: 07 Addition: Surrey Heights 4th PID:10-73003-07-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Jennie Wood 1424 3rd St N Minneapolis, MN 55411 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 - Danny G Spillner 3431 Highlander Dr Eagan MN 55122 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature