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1791 Walnut Lane II OF EAGAN WATER SERVICE PERMIT of Knob Road PERMIT NO.: 1777 ihigan, MN 55122 DATE: 7/21/75 Zoning: pup No. of Units: 4 Qwner: New Horizon - ibodgate III Address: Site Address: 17 $5 -91 -R9 Walnut LIMO Plumber: Trivtolpmem pl QD, Meter No.: Connection Charge$f.O OO peg( Size: Account Deposit: Reader No.: Permit Fee: In. nn pd 1 agree to comply with the Village of Eagan Surcharge: _5f! pd Ordinances. Misc. Charges: Total: By 4 Date Paid: Date of Insp.: /� Insp.: VILLAGE OF EAOAN SEWER SERVICE PERMIT NO.: 2538 NO. 3795-Pilot Knob Rood PERMIT 7/21/75 Erman, MN 55122 DATE: 7 Zoning: PUI1 No. of Units: Owner: New Horizon — Woodgate III Address: Site Address: 1787 85 - - Walnut IADe Plumber: 't'lit SIOSOn P111911binq CO • 1 700.00 pd 1 agree to comply with the Village of Eagan Connection Charge. Ordinances. Account Deposit: 10.09 pd Permit Fee: • 50 Pd Surcharge: B y: Misc. Charges: Date of Insp . Total: Insp.: 4 ,-- / Date Paid: f e d44, 7 / 91 ( 4 r 0 . r ■ Use BLUE or BLACK Ink t For Office Use I t 1 Permit City of Eap t 35 . ~5 t Permit Fee: I 3830 Pilot Knob Road i t Eagan MN 55122 1 Date Received: ! 11-4 113 Phone: (651) 675-5675 d ! Fax: (651) 675-5694 i StafF I l F 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ^~°`m Site Address: 1 \ Lc,-vx unit Name: Phone: Resident/ Owner 1 Address I City / Zip: Applicant is: Omer -?C. Contractor Description of work Type of Work T Construction Cost: , 2 OO 5 b Muni-Parity Building: (Yes / No Company: CantmcA-in contact 0 (4' t Contractor Address: 0. tz City: ~prt I State: _IL Zip: 553(.o'2- Phone: n ~ [ ~1- 61 U 5 f License C k 2 t Lead Certificate N the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Licensed Plumber. Phone: Mechanical Contractor. Phone: Sewer & Water Contractor: Phone: Portions of A NOTE. Plans and supporting doctaments that you submit are considered to be public Information. the information maybe classified as non-public if you provide specific reasons that would permit the city to conclude that the are trade secrets. 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.oEg I hereby acknowledge that this inforrrration is complete and gate; 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 pemrit issued In accordance with the Minnesota State Building Code must be completed within 18ti days of permit issuance. x Ancic,- Et,,krV),ePk-14eq X , J,7L&~~ Applicant's Printed Name Applicant's Signature Page 1 of 3 1't 8~ h g~ i 1111 tNwt Lam- ug eu,E or SLACK b* Ogfostfae i ~ ► 1 5(03 2b ' Faw. of " y4p P~I~OtpR) il *Road ~ Dante Leo ~ i she - 04;4-- - ~ low M ! f~ (5fti`f) 6WOM 2013 RESIDEWMAL BUIL..ERM PERIMT APPUCA'nON site AMMOM 7 Una DOW ''-toZa~lipfl@: peaaiprAm of woatc pe ()f Work I No e - conebadion Cost - x.111 ton~t 5~~14At~-p~4hC.S~ AWMM s Ci0Fftf8t"b0r 2-7 (A] (//~~j CWWAaft 5'7.39 b - l Laud letrd/~° ' pigow eoq2loAn why: (see Page 3 for adaMc nOl k*WnMO") If the is 2m projOd 400000 t COMPLETE TM AREA OIA.Y CON$TR1iC71NG A -tGWJBMJM i for at air Pbmbaaad *O a w'W Plan? in t!w fast 1Z mold=, fps ifr Cpl/ of fwgan iaaa~ed a P [ Yes No V yes. dale and addaass of nnasbr plan Phase: } f E # LWwwed Pkwdwr. pill phoom mwhankdoom &q"W&WWl9rCQWb=ftr- wm s _ ~x - tar aauMtdon ands ulNb d Od4s hoM A-~ 'mil You DICE cao Oo.acaw alb before you ftiead b 4B b sloea~ of nom. wib the odtnaroas ant ooidea of the t► of i howb~► adowwlsdge the gic btonnaaon is 00"O ft 4 aoo~adec ~ ~ SM is nd to sW wihw* a pegmt to ant wok wm be in EaOse tint I andemW d this is nd a Pavd• fad m* an a ratiiew earl aPPmd of Pww apnnos wan the appmwd sm into caw of wo*wldda n wwrtro i So WASM ~a's"wtite ©ClarW,,nk mows nm yr a t psva a omwd iw sooeelmm ~ dpwtpUt f,aaeacs. PA 14 L -Sod chtl.~ mAwcer page I Agase~a 5~~~ ~et~t GIs