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I For Office Use
I
Permit U^
City of Ea
Ed I Permit Fee::
3qn(,
830 Pilot Knob Road r I
Eagan MN 55122 i Date Received:
Phone: (651) 675-5675 t i
Fax: (651) 675-5694 j Staff: I
t---------"--------1
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant Name: U1&1 1 &r fitgf / (Tenant is: New / Existing) Suite
Former Tenant
Name: 001-26 x/142 f2,0'"7 Phone: tp -770 0V
Property Owner el? ► ~
Address /City /Zip: Az,
L Applicant is: Owner Contractor
Type of Work Description of work: -fe64 t°`- 0 f- " f
i Construction Cost: _ - -t i c1q0
i Name: az Lu' e ! C o 4 /d l frY Oo License
Contractor Address: 'l
!fie 7 ~ 1 3 City: State: Zip: Phone: b ! I
Contact: Email:
Name: Registration
Architect/Engineer Address: City:
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.
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 Ich requires a review and approval of plans.
Applicant's Printed Name is nt's Signat
Pagel of 3
For Office Use ����I
a Permit#:
, r 0
., p, C ,,,. ;,
C (OO.
Permit Fee: 9 -
.,�—.. JAN 0 4 2019 Staff:
`
,
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 � Payment Recvd: Yes _No
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694
Email: buildinainspectionst citvofeagan.com I Plans: Electronic _Paper
Plan Submittal:eplansecitvofeagan.com 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 drive
Date: I.- 4- ici Site Address: / g
LJ I - Th II 1 L
Tenant: Suite#:
Property
Owner Name: A 1 r/ t _� /.,PLLA. ,I ' hone: / ii a . ,52?1
{ I
Name: I �� 194,LN /Xt'c�'ffse#: p ( --7L-/ / 5 / 0 I
Contractor
Address: Li ! --i-,-g'
/g/71//2 City: Stateiil/i) Zip:\5150 7
Phone:(oJ '' . ; 5 7 Email: ' • e 160 Ll C / ' 1 L!C
New (` Replacement Repair Rebuild Modify Space Work in R.O.W.
Type of Work — ( pW. �/�
Description of work: c C '` A- . fes'"'
COMMERCIAL _New Construction Modify Space
Irrigation System( yes/_no)( RPZ/_PVB)
• Rain sensors required on irrigation systems
} Permit Type ' . Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
Meters Call(651)675-5646 to verity that tests passed prior to picking up meter.
Domestic:Size&Type Fire: 1
Avg.GPM COMMERCIAL FEES High demand devices?_Yes_No FI Contract Value es_No 0 0 x.01
`"
s $ '3
$60.00 Permit Fee Minimum =$
Permit Fee
$60.00 PVB/RPZ Permit(includes State Surcharge) 1
_$ Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEET
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 j
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at
www.cityofeadan.com/subscribe.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground uti.. •=mage.
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with e o• ances and =s o the City of Eagan;that I understand this is not a
permit,but only an application f a permit,and work is not to start w' ut a permit;that the work will be in = • •a =wi the = •rove• •Ian in the case of work which requires a review
and a val of plans.
Pr el
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Approved By: Date:1
1,7(J T
Required Inspections: _Under Ground Rough-In _Air Test _Gas Test '(Final PRV Required:_Yes_No
Meter Related Items: Meter Size Radio Read Manometer Staff:
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