1745 Flamingo Dr i WATE EAGAN
R SERVICE PERMIT
Pilot Knob Road PERMIT NO.: 136f�
n, MN 55122 DATE: 12/11/7 3
ing: -4 No. of Units: 2 ::::houses
Owner: Manito
Address:
Site Address: 17471745 Flamingo Drive
PlumbeP C)ani d sor1— ,McC0rmick
Meter No.• Connection Charge:
Size: Account Deposit:
10.00 pd
Reader No.• Permit Fee: 50 pd
1 agree to comply with the Village of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
1 Date of Insp.: Insp.:
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EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: NUMBER 1a1e
OWNER: ; ir; Address 1747417V , 1 a.ici o Diva
PLUMBER , i , ` xvi > i K e' —,716, TYPE OF PIPE hu;t;.v,/
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
Location of Connections: Connection Charge
Permit Fee 'u,uv Id 1-/29/72
.50 la 12/29/7e
Street Repairs
Total
Inspected by:
Date
Remarks:
By
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulation of Eagan Township, Dakota County, Minnesota
By
wonald_oh- mccormick
Please notify when ready for inspection and connection and before any portion
of the work is covered.
1-I 31 , 1`l 3~ 1 t ~ 11- 3, 1-M 1-7 4.-7 ~`A 6^:~
Use BLUE or BLACK Ink
For Office Use
tt,^, rr I
I
6~~~~JJ 1
1
I Permit
1 1
City 1 f Eap I Permit Fee: 1 1 A
4illlo I
I l
3830 Pilot Knob Road I Date Received: I
I I
Eagan MN 55122
Phone: (651) 675-5675 1
Fax: (651) 675-5694 I Staff.
L----------------!
t~ 7
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
- ~x
► MIAQ
Date: 13 Site Address: 037 1-739 17,41 17y 3 1,7q-5 17'•7 6--y unit
y
Name: Phone:
Resident/
4
Owner Address / City / Zip:
i
Applicant is: Owner Contractor
I 1
V=, ~ % !24
Type of Work Description of work:
Multi-Family Building: (Yes f No )
Construction Cost: 5 1 1;L6
i
1 Company: ~~~~'loen'rt c~,~t 1rR ria a ioR.~ Contact: ~ z 0 ~ , ct r S.
Address: City: e~~~ §a
Contractor
t ± State: h~ Zip: Phone: t
License l~ `II Lead Certificate A) P~ c~ ~=1C5 ~ 1 ~ --~o~~
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Inthe 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:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
I the information may be classified as non-public if you provide specific reasons that would permit the City to
- - conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for pmtecticn against underground utility damage. Cali 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 worts will be in conformance withthe 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 pen-nit issuance.
'3
Applicant's Printed Name Applicant's Signature
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