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1449 Lone Oak Rd EAG/N TOWNSHIP ` : 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PEWIT FOR WATER SERVICE CONNECTION Date: O - (l Number: 329 Billing Name: (LD C G ° l � Site Address: / 4/1 // d Owner: . / I . _ Billing Address ,uc-e�i-7, • Plumber: (e •1 ie..4-7A.4.2 Location of Connection Meter Siz46 /, " io Connec p n i�nhg. • Vila Aoct. Deproit . K+• y /a/G9 Meter No.y >4.6' >4' Permit Fee fO Meter Reading•••,°...' Meter Dep. Meter Sealed: Yes Add'l Chg. 140 Total Chg. IInspected by /L-t_- Date % "4 17 (CI Building is a: Remarks: a'L \ Residence 'V Multiple No. Units 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 with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: WENZEL PI R(; R HT(: INC 1955 SHAWNEE ROAD SI. PAUL. MINN. 55111 Please notify the above office when ready for inspection and connection. Clly of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 AFax: (651) 675-5694 Use BLUE or BLACK Ink 1 emeatizto Permit #: r 1 Permit Fee: C O 00 Date Received:ce�L ) 62 I )2- Staff: 5 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION J Date: Site Address: Tenant: Suite #: RESIDENT /OWNER Name: (� I �0 Phone: ,J2'" -t/SV--5Y/.3 Address /City / Zip: 1 b S L f e Odi CONTRACTOR Name: MILBERT COMPANY INC.dba CULLIGAN WATER Address: 1801 50Th ST EAST City INVER GROVE HGTS State: MN Zip: 55077 Phone: 651 .451-2241 Contact BILL MILBERT; Email: TYPE OF WORK _ New Replacement Repair Rebuild Modify Space Work ir),R.O.W. _ _ _ _ Description o work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Add Plumbing Fixtures L._ Main / Lower Level) Lawn Irrigation ( RPZ / PVB) _ Water Turnaround Septic System New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 140: --- CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start , ithout a • rmit; that accordance wit a approved plan i heel" caseeof work which requires a review and approv I pia x u 4 MA / rlr/t5ei x i Applicant's rinted Name Ap cant's Signa ure e City of will be in ,$egquredlspect ons;