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1718 Flamingo Dr } EAGAN i WNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR WATER SERVICE CONNECTION Date: 6/22/73 (12/29172) Number: 1224 Billing Name' T Site Address• 1710 -2718 11wt.QI t rivu Billing Address Owner: Plumber• Conaolidatad Pluuwing Co. Meter Size Connection Chg. s• _ 6/25/7 Location of Connection - ---- -- Meter No. Permit Fee • n + n 9 ,! "' /73 tic, v c442/73 Meter Reading Meter Dep. Meter Sealed: Yes_ Add'l NO_____ Total Chg. Inspected by Date Building is a: Remarks: Residence I �.0 $2 5OU 1311 FEE FOR Multiple z No. Units , unit tow „t,o, , _u Commercial Industrial B y ° Chief Inspector Other In consideration of the issue and delivery to me of the above permit, I hereby agree to dorohised work ainoaaccordance with ith, the rules and regulations of Eagan Township, By: Concolid�t d Pi binY Cam• lease notify the above office when ready for inspection and connection. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: 1q/ ?, +/73 (6/?2/73) NUMBER 1-61 OWNER: ' CL,4,1',1" Address 1716 is 10d T.6.,4,14 ,o 1 PLUMBER Ccaaolidated, PRw bi Co. TYPE OF PIPE hzc c:LL :suzi DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units 2 f'1k +T1Lou. c>p Location of Connections: 5.:0.0u bill u G /25/73 Connection Charge Permit Fee lu.,)2 ;:: 1;7 Street Repairs Total Inspected by: Date Remarks: By Chief Inspector In consideration of the issue and delivery to no of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota BY Please notify when ready for inspection and connection and before any portion of the work is covered. (e- ~~p$, ~'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 Page 1 of 3