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M015, All 01, t°l o 9 l 1111,10113 ,111 Ir
1 q III I &I « 1q a I I IO~a3 1Cr 1 IDIa.-~ -Use BLUE or BLACK Ink
t 1 ( r
I For Office Use
Permit
City of Eaoa~
t~ I Permit Fee: :74 (D - -167
3830 Pilot Knob Road I
Eagan MN 55122 I I
Phone: (651) 675-5675 i Date Received: j
Fax: (651) 675-5694 Staff: 75 Y~ I
L-----------------I
3
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 1 d~7 ~3 Site Address: wv\
Tenant Name: Qilak ~ comow., 0,4 ~ar~c4 kor ofajenant is: New /X Existing) Suite
Former Tenant:
. _ g5a- 79
_ Name:D j~,n -otltlohS :L VffiaS ^4 dlaCdsn S Phone: y 3a• 89
Property Owner Address / City / Zip: P.(ZtJd~C S 1103eho.wv~ SSO b$
i Applicant is: Owner Contractor
Description of work ' Get' d~ - Coo ~K C\.r~r 5 a . ~h Ct C`
Type of Work
Construction Cost: 5~1 158(. • O
3
Name: O T cov-. (-%X~4 o License \J .C2 l t o1
Contractor Address: ~1e~p.C1e L `oJ►rta{~ y~yL City: \05L~yJKA-
State: M 1 Zip: 575_0(69 Phone: -`I~c J~~ ' 21 ;L ` 9 ~S
z (
Contact: h{fJ Email: LGJt kv VekVtC, o~`J. Gol'1
Name: Registration
ArchitectfEngineer Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone I 11
11
11
11 NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.gopherstateonecall.org
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 L,,~ I kk o V x 44=
Applicant's Printed N e Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA122728
Date Issued:05/16/2014
Permit Category:ePermit
Site Address: 1917 Ruby Ct N
Lot:043 Block: 04 Addition: Diffley Commons 2nd
PID:10-20451-04-043
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.
Ashley Orman
130 Plymouth Ave N
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Daniel E Drasher
1917 Ruby Ct N
Eagan MN 55122
(651) 308-2734
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature