3265 Alden Pond Lane SEWER & W A ;: � r . , ;
l'Y OF E A - 10 IE ,Y
8/i /89
_ PERMIT DATE �� Y
3834 P i ob Rd. A E R PERMIT �T32 ,
P.O. Box 2 198 �R PE
t . 5512 t '' t ER t ., 1 8 ?. RECEIPT # 5/ ' ; 3
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DATE P V BOO TER PUMP
S ITE ADDR r P iMR i + BTE
LOT ,AZ BLOCK E:3 8 1 (4e l 7`n
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APPLICANT' _ �P � � ��fi #�#�� ���' y
RE * ,_ rikl my /1+fi, , — c wtr i SIDEN IL d
Ct' 'Y STATE ZIP 55113 '
PLUMIBER„ _ ,.
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CITY, STR x e tP .1 13 ., ..,_, .._ . . .„..,
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For 0 f f i
c e Use ————— —7 I
EAGAN i
errnit#: .. )
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,,,,,„....—....... Permit Fee: & 0 •
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1
(651)675-5675 I TDD: (651)454-8535 1 FAX: (651)675-5694
Email: buildi gins keotions .,!cityoteagen.conl RECEIVE") I Staff:
Commercial Plan Submittal: planscilyote gen corn
JUL. 0 5 2018
2018 RESIDENTIAL MECHANICAL PERMIT APPLICATION
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Date: 7 - 2----1 S'' Site Address: :C 2—L-;`---) c mA (...,,L s
Tenant: Suite#:
Resident/Owner cm ,
Name: A\ 4,t_ ,-., V c“,,47 5 Phone: (—, ')1- 4 ca 1.- ( ,gc ti
Address/Ci /Zil: 2_-•c
Name:
. gnse#:
1 1ILLE. ,Suftela ctat 41st Street ity.
Contractor Address:
Minneapolis, IAN 55407-3425
State: Zip: (elm rytmo
N )
Contact: A cs,,Th.L_. \ 4\ Email: an n a__.(l,c-c._s‘rNC.. ..--A 0.- ) Ok_ r- 4....6,rn
, RESIDENTIAL
Furnace
y, Air Conditioner Ct.,,-i-k c_ r 2-L4
Permit Type
Air Exchanger
Heat Pump
Other
New `' Replacement Additional Alteration Demolition
Type of Work
-.)
Description of work: ILL')‘ ,:.....Lc— c2_;4_, s.i.,--, • ,.,4_C.__ 4,2.:1 v•N 2---
\ '7
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge oC
$100.00 Residential New, includes State Surcharge =$ 6c, TOTAL FEE
You may subscribe to receive an electronic notification from the City of propose. - .'fiances by signing up for an email update
on the City's website at ,,,i, citvofesuan.cornisubscribt
I hereby acknowledge that this information is complete and accurate;that the work I be in 4 nforrnan wit - dinances and codes of
the City of Eagan; that I understand this is not a permit, but only an application fo 49 perm' , and work s n9 . .rt without a permit;that
le
the work will be in accordance with the approved plan in the case of work which e res a r-view and pp 9 9 plans.
/ I 'llicil
Applicant's Printed Name Appli. 5-ignature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
____Underground Rough In Air Test Gas Service Test In-floor Heat Final