1712 Flamingo Dr EAGFN TOWNSRIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: r / "173 (1 ?/2917'!1
Num 1 i
Billing Name: ' 1 ' naaviaw
Site Address: 17'' 1 ',, .
Owner: Billing Address
Plumber: Co .alidated Plu..bia_ Co.
Location of Connection Meter Size
Connection Chg. illad L/25/72
Meter No. Permit Fee ;.:i '; , r L ! . 7 /c.
Meter Reading______ Meter Dep.
Meter Sealed: Yea_ Add'l Chg.
NO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence $2 3
Multiple No. Units 0 uuii APROii.i Li h J J 4 J 1 ±-, LIE ERS.
Commercial
Industrial By: Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance vith the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Cuaaoliaace.l Ylu,a Co.
Please notify the above office when ready for inspection and connection.
J
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR SWER SERVICE CONNECTION
11/29/72 (6/22/73) NUMBER 136U
712 & 17ii i �•.41x4i , ��rY�
OWNER: 'To"v
Address x 1s,za+:f
PLUMBER Co,16olidAed Pluubin■ Co. TYPE OF PIPE 'v etiw i ""
DESCRIPTION OF BUIIDING
Industrial Commercial Residential Multiple Dwelling No. of units
1..r. _ wailnou
Location of Connections:
Connection Charge `11"..6/25/7
Permit Pee 10 •`" "=d. 12/'29'/2
Street Repairs
Total
Inspected by:_______------
Date
Remarks•
By Ch ief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work inoa , aith
accordance
codnce with the rules and
regulations of Eagan Township, Dakota
By
A ...,:i Plwn c Co.
Y
Please notify
when ready for inspection and connection and before any portion
of the work is covered.
(e- ~~p$, ~'G1b V7 19- ,1~ t1►b , t'll~ a,►M r'IUse BLUE or BLACK Ink
j-For office Use I
1
l Permit I
411100 !
City of Eap
Permit Fee:
3830 Pilot Knob Road ! I
l
Eagan MN 55122 Date Received:
I I
!
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff' I
L---------- I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION ~t4 ~.N~
Date: 1(~ 3 Site Address: 70 )')to i 1 7 1!1 P 17l U ! 1$ tlnita#_:
Name: Phone:
i
Resident/
Address f City f Zip: _
Owner
r 9 Applicant is: Owner Contractor
Type of Work Description of work: k.1- GT c s
Construction Cosf Multi-Family Building: (Yes No )
A
l
x _ p Company: Y_ Contact r
)C ,
Address: (y C' c~ r~l t$ d City: f' rs to-`tVON
Contractor
p
State: (y1f Zip. ~5 14 Phone: ` ~3' o~2~C3a
i
7 [ ' _
License #:-76(_ C_> Lead Certificate* If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
C .z I i 'I-
,ice~'_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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:
3 Sewer & Water Contractor: Phone` _
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 ws+ould 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 a-;,i7nst underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities.
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota state Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name Applicant's Signature
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