4086 Durham Ct
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA109672
Date Issued:03/26/2013
Permit Category:ePermit
Site Address: 4086 Durham Ct
Lot:106 Block: 04 Addition: Diffley Commons
PID:10-20450-04-106
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Renae Freinwald
2200 Hwy 13 W
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 -
Paul H Eger
1971 Shamrock Pl
Chaska MN 55318
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
0611712014 15:07 Les Jones Roofing,Inc. ffAX�528817009 P.014/020
Use BLUE or BLACK Ink
( Forofficeu9e^-----------.)
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� C�ty of Ea�an � Pe�"#: . ,
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� Pertnit Fee: �
3830 Pilot Knob Road
Eegan MN 66122 j Date Recelved: j
phones(651)675-6675 I I
Fax:(6g1)676-6694 . � S�� �
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2014 RESIDENTIAL BUIL.QING PERiVI�T APPLICATION
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`t,.; `��:;;%� L►cenee#, ���o� Lead Certificate#: .v,4T `f 0 3 7.?-/
If the proJect!s exampt from lead certlflcaflon, please explain why: (see Page 3 for addltional fnformatlon)
COMPI,ETE THIS AREA ONI.Y 1F CONSTRUCTING A N�W BUILDING
In the last 12 months,has the City of Eagan Issued a pe►mtt for a similar pla�based on a maeter plan7
_Yes _No If yes,da6e end addrese cf maeter plan:
Llcensed Plumber: Phone:
Mechanlcal Contractor: Phone:
Sewer 8�Water Contractor: Phone:
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CALI,BEFORE YOU DIG. Cell Gophor Steta Ona Call at(661)46d-0002 tor protecllon apalnst underground udllty damape. Ce1148 hours
befora you Intend lo dlp lo receive locatea ot underground utlqtlea. www.aooherslateonecall.ora
I hereby acknouwedae thet thle Informetlon le complete end accurete;lhat the worlc wlll be In conformance vullh the orcllnancea end cod88 ot the Clly of
Eapan; lhat I understand thle Is not s permlt, but only sn appltcatlon for a pertnit,and work Is no!lo slart wlthout e permll;l�at Ihe work w111 be In
eCCOf�d�nCe with lhe epproved plan In the case of work whlch requlres a revlew and approval ol plane.
�Xterlor work authorizad by a bul►ding psrmlf Issuod In eccordance w[th the Mtnnasota 3tate Bullding Code must be Completed wlthln 180
daya of permlt leeuenca.
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Appllcant's Prl�ted Name Appllcant's Slgnature
Page 1 of 3