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3447 Highlander DrRESIDENT OWNER I Name; C it 11.f 1u .ti j 1Q L/J hone: /. r 10r ci f7; Address I City / Zip: � `bl -3(t'& Cf 'f; 1 Vi folv ill 010 V IF Applicant is: Owner Contractor TYPE OF WORK Description of work; / / 11 1 A . i s /. / 47i ." - ! � IP • Construction Cost: .E� a Multi - Family Building: (Yes i I No ) CONTRACTOR Company: Sai4 iAJ Contact: 64-444 V /1! rte S 5 A - II • SA) l _ r i.i I!! • City:: . L ( Address; State: Zip: ,5 ! Phone: gj — �[P C '� 2 ,i #. Ai License v Lead Certificate #: A. A50( I If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, No If 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: _ _ Yes Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor. Phone:. Phone: Phone: NOTE: Plans and supporting.documenits that you : subf ° it are considered to be public. lnformation: Portions of the informatlon may be. classified as non - public. if you provide specific reasons that would permit the City to conclude that they.are. trade secrets. Jun. S. 2011 2:47PM SELA ROOFING Date: City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675 -5694 x c ''t V /`t VD6L0 Applicant's Printed Name �b5 Applicant's Signature Permit # Permit Fee: No. 6530 P. 23 Use BLUE or BLACK Ink Date Received: Staff: 2011 RESIDENTIAL BUILDING .l Z PERMIT APPLIC N Site Address.345 .1 /� r� .) A nts #. P 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. www.aor herstateoneall.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 piens. Page 1 of s C � � , : WATER S EI VIC PERMIT g ".otRo PERMIT 'ISO' ; , { ,N55 DATE ' ,�� > � 9 , " r ; No �9f Un i t s: � � x dr ` Sit Address T `' � >� i 4: ?u be 3 .-.J t' ., ' figs `# ` i ;. eei'� `i�o Connection Charge � - ize A Deposit Reader N ©: Permit Fee: a I.agree to c omps wit th City of Eagan Surcharge: V TO Misc Charges x r. r Total By 1 r . Pa id• L insp .,._ .__ _ ._u_ r c i �� - G � SEW • t4 ERVICE� P x l " . ° �" n , 'A • f s �� t�� { f i t s r ; S it'" Addr x .* per. e C" of E a an C o Ch � : 1 agree eom � w ith R !fY 9 ;, , Ordin �rc =•'� By 'Mis Charges i �Totai Da te of ,insp;;:' I nsp _ • {' ; h Pa - - PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA158276 Date Issued:10/07/2019 Permit Category:ePermit Site Address: 3447 Highlander Dr Lot:2 Block: 01 Addition: Surrey Heights 6th PID:10-73005-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Patricia E Schuler 3447 Highlander Dr Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature