4673 Traverse Pt i. ! NO ..' 3 r 5.
No. of Unit t _ fie
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4 .Tze a se, in E4 Rid seAire 4th
'4, x ' y a' 305.00 :
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Nfit Knob Rood PERMIT NO.:
Win, MN 51122 DATE: 1 ". / ,
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+� No. of Units: t . �.¢ ', �
7.o 1- -or_ '_.( * ec
Address:
Site Address: {r Traver3e 'c >: rzt i' : nir?recf 3 x ':t1
Plumber. r,--41-•
1O7?f ,) 21164 1N`. ;,
1: einie to coomplq wNi the City of Rogotit K "Connection Charge: 425 • 00 De-
ONNoonoes.
' / Account Dep os't:
/ Permit Feel I C'. (O rt'
Surcharge: _
By 7 Misc. Charges:
Date Total:
Insp.: _! " T ' - bate Paid:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153837
Date Issued:01/28/2019
Permit Category:ePermit
Site Address: 4673 Traverse Pt
Lot:3 Block: 04 Addition: Ridgecliffe 4th
PID:10-63983-04-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Sisbro Properties Llc
4478 Pondview Trl Se
Prior Lake MN 55372
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature