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4414 Jan Echo TrDate: Tenant: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Site Address: CAL 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 utili ties . - www.000herstateonecall.orti I hereby acknowledge that this infbrnatlon 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 pproved playa in the cas work which requires a review and approval • • la f X ! l r� m ( 1 e / /f/ Applicaht $ Printed Name Use BLUE or BLACK Ink i Permit #: l 63 01) Permit Fee: LO 0 Date Received: Staff: Suite *: RESIDENT / OWNER Name: if l d ( e� vk F �/ �Cr(,� Ebo 7 (3 - f b) - fi r- - tt ne � 7 l / Address / City / Zip: CONtRACTOR Name: _MILBERT COMPANY INC.dba CULLIGAN WATER HM Address: 1801 50TM ST EAST City , IR GROVE HS State: MN Zip: 55077 Phone: 65,1 :451-2241 Contact BILL .MILBERT':; Email: TYPE OF WORK _ New eplacement Repair Rebuild Modify Space Work in.R.O.W. _ Description o ork: . PERMIT TYPE • RESIDENTIAL � Water Heater _J jPfater Softener Lawn Irrigation L RPZ / PVB) (( Add Plumbing Fixtures (_Main / Lower Level) _ _ Septic System Water Turnaround • New _ Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing Fixtures, *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Septic System Abandonment, Water Tumaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) Nmy ($10.00 per as built) ( incudes County fee and $5.00 State Surcharge) bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) /r TOTAL FEES $ (� Date: Tenant: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Site Address: CAL 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 utili ties . - www.000herstateonecall.orti I hereby acknowledge that this infbrnatlon 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 pproved playa in the cas work which requires a review and approval • • la f X ! l r� m ( 1 e / /f/ Applicaht $ Printed Name Use BLUE or BLACK Ink i Permit #: l 63 01) Permit Fee: LO 0 Date Received: Staff: Z, Ify -A 11C, I For Office. us.e Permit C ity o Ea ~ Ij I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I - 2008 RE IDE TI BUILDING PERMIT APP ATION 41 i f /4/ ff ~Q/ qi q4l q #i ~i a 4 G rG J Date: Site Address: ~}f/J~f 41 /Y, Tenant: ~ Suite M RESIDENT" / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: ge- &o g -1,2 Construction Cost: 4`" I- Multi-Family Building: (Yes-- No CONTRACTOR Name:- T~e°' a C'e:E- License Address: /Qeq ._:5aH?fi,7e, ' -~5- / ' Y29 - City: State/)W Zip). ~//,3 Phone: _`P j -2 ,38~/ _ °y Cv/,-- Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) Energy Envelope Calculations Submitted 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: NOTE: Plans and supporting documents than' you stil mit are considered to 69'public information: Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to eonciude thaf.,the are, trade secrets. 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 j 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; th work wi a in accordance with the approved plan in the case of work which requires a review and approval of lans. x 1y (C-'"-'~ x ' Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156723 Date Issued:07/16/2019 Permit Category:ePermit Site Address: 4414 Jan Echo Tr Lot:102 Block: 02 Addition: Cliff Lake Townhomes 2nd PID:10-17791-02-102 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 - Yuanqui Hansen 15332 Eagle Creek Way Apple Valley MN 55124 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature