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1063 Duckwood Dr Unit 100City of Eagan Eagan, PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA101306 Date Issued: 10/03/2011 Permit Category: ePermit Site Address: 1063 Duckwood Dr 101 Lot: 130 Block: 04 Addition: Lexington Place 2nd PID: 10-45051-04-130 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Tony Boerner 2090 County Road 42 W Burnsville, MN 55337 952-435-2442 Fee Summary: PL - Permit Fee (WS &/or WH) $50.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $55.00 Contractor: Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 - Applicant - Owner: Cynthia 0 Hayes 1063 Duckwood Dr Unit 101 Eagan MN 55123 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. Applicant/Permitee: Signature Issued By: Signature 41,111 City of EaQali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: /; e) 3 Permit Fee: 60. Date Received: 1— 7 / t 2 fY1�..f Staff: 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: / C"2---((< Site Address:/tY cAi l_ /� -' -- L 22 ) 00 Tenant: Suite #: Type of Work Name: Phone: (9 1 a — co J 0055 Address / City / Zip: S Q., ti St-- ho.( l4 63 a)U 0 44 /00 Name: �i e-°- //A ' ' fa• 7‘..,5 License #: ��� � G' Address: 2 6 3 2 7l b �C City: �-^� k %7l e_ State: ni...53:-.4`4‘ Zip: Phone: Email: ?Ci/l Contact:' (( New rC Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL IWater Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) "Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ 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.copherstateonecall.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 of plans. x 1- cZ s Applicant's Printed Name FOR OFFICE USS Reviewed' Required Inspections: Under Groun. d Rough -in Meter -Related Items .Meter Size Radio Read Manometer` Staff: Applicant's Signature Date: as Test Final City of Eagan PERMIT 411' CityofEaan Permit Type: Mechanical Permit Number: EA134567 Date Issued: 12/29/2015 Permit Category: ePermit Site Address: 1063 Duckwood Dr 100 Lot: 129 Block: 04 Addition: Lexington Place 2nd PID: 10-45051-04-129 Use: Description: Sub Type: Residential Work Type: Replace Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary: ME - Permit Fee (Replacements) $59.00 0801.4088 Surcharge -Fixed $1.00 9001.2195 Total: $60.00 Contractor: Grant Heating & Air Llc 19700 Embers Ave Farmington MN 55024 (651) 226-0515 - Applicant - Owner: Shiela M Milleon Po Box 724 North Beach MD 20714 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. Applicant/Permitee: Signature Issued By: Signature