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" `+RT' * S , ti� ra34 1 Use BLUE or BLACK Ink / I For Office Ilse I Perrrtit# I 71770"' City of Eaba n 10 1 Permit Fee ( I 3830 Pilot Knob Road I Eagan MN 55122, I ; 1 Phone: (651) 675-5675 I Date Received: Fax: (651) 675-5694 I Staff: I -l 2014 COMMERCIAL BUILDING PERMIT APPLICATION t Date: Site Address:L~ Tenant Name: ulfi-lli l r ra,./ f s (Tenant is: New ! Existing) Suite # s~ Former Tenant: Name: !-"C?t r f ~ l Phone: fit' '776 G Property Owner City l~'1U Address f / Zip: Az, Applicant is: Owner _X Contractor Type of Work Description of work: fie l?- Q f', 0 Construction Cost: q q~ 5-2 Name: 1 a Lv e G' ,1 %,e J,4 ! Y License Contractor Address: L4 City: MOO&- 61t' State: 1/- Zip: 5 f I Phone: 1 17 i Contact 1, Email: c1 -Al L5 ~ We--S, rc- -1 Name: Registration r~ Architect/Engineer Address: City: I State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: 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 would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call' Gopher State One Gall at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.goRherstateonecall.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 ragan; 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 ich requires a review and approval of plans. Applicant's Printed Name - cant's Signat Page 1 of 3 For Office Use r, ti. Permit#: ` i `e E A Pertik Fee: 607-ifW) AN �- RECEIN :.) Staff. 3830 PILOT KNOB ROAD IEAGAN,MN 55122-1810) JUN 0 4 2018 Payment Recvd: Yess_No (651)675-5675 TDD:(651)454-6535 FAX:(651 675-5694 Email:buildinginspections[fr�cityofeagan.com Plans: Electronic _Paper, Plan Submittal:eplail,s 5 cityofeayiz.c,gn� L 2018 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email,CD or flash drivej � Date: ---S130/1 g Site Address: / g Tr G t. L(.J Q y `.J r Tenant: Coo,1..Y10T "Yrc L S APa.es-r'/ tC.nrS suite is: Name- .6)4 Lma- t LS A Pek rTivenr--._1 Phone: 6/2-9 3 9-o l`7 -7 of Name: 1/►'t't S Q Oa L Ct/ P L(J rY )JI r3icense#: V C9 L) P✓Y) * Address: �C ou n4 y ld el City DSS e.O State/�i'�ZIp.. 3 4 9 • �� t ; ,m Phone:763-142K-5 5 g Email:„ rn - 'iPL0171Qr, (1 c_ornca$l: �✓e-T' " New Replacement Repair. �y � � pi pair Rebuild _Modify Space Work in R.O.W. *it( Description of work: re P2.0..0 ri - ' COMMERCIAL New Construction _Modify Space T _Irrigation System L_yes/_no)(_RPZ/ PVB) • Rain sensors required on irrigation systems 4: 4i,44.1,40:,.." • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) _Meters Call(651)675-5646 to verity that tests rtlY passed Prior to t>ic kinfl up meter. • f` 2 Domestic.Size&Type Fire: 1 ttl.�"rye , � ,, Avg.GPM High demand devices? Yes No Flushometers Yes_No COMMERCIAL FEES Contract value$ 54 eV.OQ x.01 $60.00 Permit Fee Minimum $ ��,OQ Permit Fee $60.00 PVB/RPZ Permit(includes State Surcharge) (� C56Surcharge Surcharge=Contract Value x$0.0005 =$ ^'V If the project valuation is over$1 million,please call for Surcharge =$ f: 2 ` C30 TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant $ Water Supply&Storage $ State Surcharge =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up far art ami update on the City's webslta at veww.cityafe4uan.com/subscribe. CALL BEFORE YOU DIG.Call Gopher State One Call at(651)4540002 for protection against underground utility damage. I hereby ackrawAedge that this information is complete and accurate:that the work will be in conformance with the ordi of of Eagan;that I understand this is not a penult,but only an application for a permit,and work is not to start without a pen*that the work will be In accords . and approval of pians. pitch the case of work which ragtime a review X Dar)1 1— N&INCA.c, se, i X Applicant's Printed Name Applica s Signatu ��J��-e �us T� ,� ��+E ���,��� � ,�"�,ie. � �+ r� yla ��arM 4 is • G Pm i., 3=a. € s Y at,EI , II �wb" w - d'.t- ink.,, Y 3 ,vi fz ve Tt:7. xr � � � i s �• k�� :�5 f A'�j;,.s�."W.4'r $�'�Sz x .'.1 7 � 9 s � YAP F h: FpA r'.r}i{ s�a7A"0`9�rfie MG .'.;$, 1:z�a�`' � ''"`++ter• 'q cx s a d y s Page 1 of 3