1574 Mallard View SL & WATER PERMIT o f oil ON Y
C :OF EAGAN.. PERMIT D; RTE 7 25 I
3830 Pilot Kn Rd. . WA TER RMIT if Fi " SEWER PERM # {F
P.4. Box 1 ;¢ : METE . B.P. REC.Et''I' # c 7
Eagan, 65121 -
# - B.P. RECEIPT DATE = 7/74189
,< ISSUE DATE x . yr . PRV _130aSTER PUMP
SITE ADDRESS 1. 5 7 4 Matta r i View. t l STED
LOT � _.BLOCK 2 SEC Thomas Lake W o d
homes Lake e.`elopme t, Ltd X ; WER X WATER _:.;..
APPLICANT O
, a
ADDRESS' 6 4$ R s t d S E E. _ _ COMM/IND # ESIDE }AL..,
CITY, STAT
Prior Iak7�t ` 55 72
44 /'"'14'
PHONE: NEW 4 41- — EXISTING
. &PLUMBER Genz - Ryas 1J:ubi : % ` I A I=
CITY, STATE
ADDRESS , 14745` So 1 B ert `b t A REE TO 1F 1 Cmr OF
Rios n t, N` c .Zi P 5 5 p 68 EAG
PHONE: 423 - r44 4 _ ,
OWNER: Thomas Lake �D ve:lopmes t . Ltd: '
66 R "Road S E
ADDRE MCiNATURE i E Et METER MUSD
CITY STATE Prior' Lae , ; - '�� tp S fi '7 2
P: . 447
PLEASE ALLOW TWO I I�►" t. Nth. FOR STO SEWER IaERIMItS COACT
ENGIP G I EPT.� J
ilgzer , 57 79' - 'tj -
I For Office Use j
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ClbV of Ea ~ fl Permit#:_~ 41~
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Permit Fee: 5~}q pt~ I
3830 Pilot Knob Road I 1
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I _91~
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Fax: (651) 675-5694 I Staff:
I 1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Resident/ Name: -Phone:
a
Owner Address / City / Zip: ~i 114 a/ j/ i, c,;
jaei
Applicant is: Owner A( Contractor
Type of Work Description of work: )Oc ro& 6-
Construction 3 000 r CIO Cost: ,
Multi-Family Family Building. (Yes / No )
Company: Contact: 'eU:~s F✓'c `U,C~
Contractor Address: jA,1 r 0~ ity: &;J4
State: I P Zip: G-S' 33 ) Phone: a/c ~ - 5 -U 63O&D
License 7c, 631639- Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
I
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:
1
Licensed Plumber: Phone:
I
Mechanical Contractor: Phone:
Sewer & Water Contractor: i
I _ _ Phone: ~
(-NOTE Plans and supp_orting _docum__ents _
_that_you submit_ are considered to be public information. Portions of A
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. i
CALL BEFORE YOU DIG. Call Gopher State One Call 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.gopherstateonecall.org
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.
xv x
Applicant's Printed Name Applicant's Signature
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