1712 Woodgate Lane g " OF EAGAN WATER SERVICE PERMIT
t Knob R av " 4 ERMIT NO.: 1901
1 5 122 t ATE:
Zoning: RII ~ 4
N ew Horizon .' : , •7 Prr. o. of Units:
Owner: 1 gate III
c�.
Address:
Site Address: 1708- 14 -I2 -14 Woodgate Lan
Plumber: 1 111 1 P1* b1 Co.
Meter No.: Connection Charge: 640.00 pd
Size: Account Deposit:
IMOD billed
Reader No.: Permit Fee: 50 billed
1 agree to comply with the Village of - • gan Surcharge:
Ordinances. Misc. Charges:
l f G t i7 By ' / 7 f Date Paid:
Date of Insp.: 111 Insp.:
must OF EAGAN SEWER SERVICE PERMIT
. n
3795 Pilot Knob Road
Eagan, MN 55122 PERMIT NO.: 2658
Zoning: RI' DATE: 12 1
Owner: tf1lN1dA No. of Units: 4
Ad a tai III
Site Address: 170 8 - 10_12 -
Plumber: •.• _ . +sR> Plumbing �tee
, 00.
1 agree to comply with the Village of Eagan Connection Char e: (? Pd
Ordinances. g 17Qp. Q
Account Deposit:
/ / Permit Fee: •
By: r G Surcharge: .
Date of Insp.; Misc. Charges:
Insp.; Total:
Date Paid:
Use BLUE or BLACK Ink
r-----------------
I For Office Use t
l ~
Permit
Clity of Dian I Permit Fee: 5• 1
3630 Pilot Knob Road 1
t
Eagan MN 55122 Date Received: 1
Phone: (651) 675-5675 I t
Fax: (651) 675-5694 i StafF. I
I t
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11 Site Address: Uxin
Name: Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work: S:~U
Construction Cost: 2 CI LI 0 (h Multi-Family Building: (Yes 1 No )
Company: ~ Contact: \ 0.)1
Contractor Addressor: Q S C- City: - 0 AA /Q0
State: / Zip: Phone: 0 ~Z U-1 l S
License r-N r LA -r l-Lead Certificate -Mis-kcr
If 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:
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 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.got)herstateonecall.oro
1 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.
x x
App icant's Printed Name Applic t s igna
Page 1 of 3
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