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3246 Alden Pond LaneSEWER & WATER' row ail( OF EA1 ''ilot'Knob Rd. .P.O.Box 21199 Eagan,'MN 55121 PERMTDATE WATER PERMIT # METER #' READER # �. iPIETER SIZE ISSUE DATE SITE ADDRESS 324 .1144,s91a • e i NNT F EQUE Ti LOT ..I QBLOCK C/SUB APPLICANT: Rosewood' Construction, c. EW R 1 R , TAPS 1711 W Ounty Rd :: $ ' ADDRESS: ND' Roaeva' 11a �5 1I3 . , -Y- TY, STATE,., bo1SZs4 ZIP t, /NE1iV EXlSTIP PLUMBER: PutJor°mechanical ADDRESS. 1O6SO Highway152 3 ACBE G♦ LY, H CFTC Mapl Craye, mN 5536 EAGAN CITY, STATE`, zip 4614E' - _-11 2220 Lianited'Partoorehip 1711 W. COunty RRC B. Reseti11e, MNZiP 1551.1 City of Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: [ / Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: i `) 6 Site Address: 3 2114 , -' \ , 1lneTh Tenant: / L r) e n � nr3 �Uw n )(•-•,(.5 ?vs_ `7 Suite #: Name: e .-\ Rt) r1 C) .S Phone: 6 5 1 l-\ S Z- 6$ 0 9 Address / City / Zip: 3 21-i 6 h \ E - 7 O C� Name:."R--,o S f CNN i-� trANN -,5 v Ai! License #: State: n Zip: Contact: n " �. Phone: Email: ()LiN - iLt)\ncc No A- 4 C4:3 New NcReplacement Description of work: Additional Alteration Demolition Z1.00 CL-rraLiiki 3?- Z- -U� RESIDENTIAL Furnace X Air Conditioner Air Exchanger Heat Pump Other al eq .s required to be screened by City' information on i7tti =ecredf tt thods. COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank (_ Install / Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ 60 TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum $75.00 Underground tank installation/remoial, includes State Surcharge Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 =$ _$ =$ Permit Fee Surcharge TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with t Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is yrbt`tp start without p with the approved plan in the case of work which requires a review and approval of plans. x \/c!.c.^ Applicant's Printed Name x inances and codes of the City of that the work will be in accordance Applicant gnature