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3474 Trails End Rd*City of Eta Date: TYPE 3830 Pilot Knob Road Eagan MN 55122 Phone: (661) 675-5675 Fax; (651) 6764694 �.. 1,1 Site k eou..,T✓ty d .n. f 5 Site Address: 3 4 ' 7 N T/r A 14 s Err 4 A . &A:3 - FS/ 3 Unit is • • • 's A 2 o - e ,Pry,.,, - .4J vo au LA Construction Cost 9, VD 0 4-113 90 39tid 1NIt1W aome1X3 I3H RECEIVED FEB 0 2 2012 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Name:% /id; Al )01.6L , ewr /0 „g 6t Ai.t.g.p.) r 44 6 Phone: 743 -ss 97740 Address / City / Zip: SSo p tw c A ' '/..4 ',. ;J 1r 2 P1 acid.04..4 .0.4 '.Sri/?. Applicant Is: Owner >e' Contractor Company: a E / cxrFlr r c.2 Ai 4I %. eo ro. Address: go s [J Permit Fee: Start: Description of work: 8A v a £ d /2 E oa •► C t. Sy r a G L 2 Multi- Family Building: (Yes Contact: 34 ✓ E 4v2A2i $ City: ,GMZ 3 . State: OA) Zip: 5 9 Phone: 4 /2 - 3'41 6.2 Ucense #: Q C I , Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Ucens d Plumber: Use BLUE or BLACK Ink For Mice Uee 1 1 I Permit � I owe Received_ (7 7. ' ,��/ Phone: Mechanical Contractor. _ Phone: Sewer & Water Contractor: Phone: AMO • CALL BEFORE YO I DIG. Call Gopher SOele One Ceti 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.goottrstateonecilll.oua 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 pemnit, 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 requites a review and approval of plans. Exterior work authorized by a building permit issued In accordance with the Minnesota State Sued U ode must be completed within 180 days of permit Issuance. —� x -6AV / d o�vlz/1 /S Applicant's Printed Nt#me Applicant's Signature Page 1 of 3 L9Z9I98ZT9 STET ZTOZ /Z0 /Z0 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160342 Date Issued:03/04/2020 Permit Category:ePermit Site Address: 3474 Trails End Rd Lot:20 Block: 02 Addition: The Woodlands North 3rd PID:10-75892-02-200 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Shari L Horsman 3474 Trails End Rd Eagan MN 55123 Bob Boldt Hvac 4310 Trenton Tr Eagan MN 55123 (651) 454-7760 Applicant/Permitee: Signature Issued By: Signature