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4456 Woodgate Pt VILLAGE OF EAGAN WATER SERVICE PERMIT ` 3795.Pilot Knob Rood PERMIT NO.: 1844 lbgait, MN 55122 DATE: 9f 26/75 Zoning: R11 o. of Units: A Owner: NSW �" Y /iCk j Address: k/ Site Address: 4456- 58 -54 -52 tbodgate Paint Plumber: libumPunn Plumbing Cu' Meter No.: Connection Charge: fi�40 • QO pd Size: Account Deposit: Reader No.: Permit Fee: 10.00 billed 1 agree to comply with the Villag - of Eagan Surcharge: . billet! :` Ord / Misc. Charges: 9 / ✓7/ Total: i° By [ 7� ( c ' Date Paid: Date of Insp.: Insp.: vaLAOE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: 2643 ' Eaagan, MN 55122 DATE: 9/26/75 Zoning: RII No. of Units: 4 Owner: New Horizon Address: Site Address: 4456- 58 -54 -52 MOOdgate Point Plumber: Thompson Pluatbing CO. 1 agree to comply with the Village of Eagan Connection Charge: 1700.00 pd .i Ordinances. Account Deposit: 10.00 billed Permit Fee: 50 billed l Surcharge: By: f 2 7 Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: `S Use BLUE or BLACK Ink For Office Use I F I ✓ o`- 1 I j Permit L l City of Eap 1 ,aa .so i Permit Fee: I 3830 Pilot Knob Road j 1 Eagan MN 55122 I Date Received: l Phone: (651) 675-5675 j Fax: (651) 675-5694 staff- I - - - - - - - - - - - - - - - / 2013 I RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Name: Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner 1t, Contractor Type of Work Description of work: t l Construction Cost: 16~ SvOt~ Multi-Family Building: {Yes / No ) Company: 1 Contact: ~ ))C Y)_ Contractor Address: City: ~ State: Zip: Phone: - License Z C "s wmot Lead Certificate 16 7M - d- 60 T L 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 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.aopherstateonecall.orct 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 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 Y~ l~~t a ee k~ eU x Applicant's Printed Name Ap ' an s Signatu Pa, gel of 3 AOL- FM 3M~Kmound _ EwoIIN fsln 1 Step _ i(6Qi1j 2013 RESIDEHMAL BUILDING PEWAff APPUCA11ON so ,-PhOM tu. _ r . - App~Caitt ~ of vwjory Nay' (yes ~-/No Ouww ~ TYM of Work m+ coat s 3 IPT a pmm yr}T 5-7396-1 ,.,*3c-3~~so8 Lend CwItlecaft c pme { If theis * k COW4XM nos AREA ONLY IF CONSTRUCT A JENJULOW n a 40r a Pion t~asad on a masie~ tom? P M the test 1Z maatha, ins the CRy of ~ snood € Yes No dyes, daft and adOem Of MWW tom . Pa'f>ilfer' Phons: Made'niral cauftewn PhOW. of - C046bours ,t ~t1 ~aYEit rsi ' CddiePtswe odet:aN ems- y~ 4 ,nis~dbdgta leoetretocmm ofOW&Mww and Dads, otitis City Of bowie tai the wok vA be in aado s+ tt~s to the watt wA be in i hereby adWM*PIP *a Mb idol is CmOns ~ 00"' pandL but 40* for a per. and wok is not iD dot vmwA t ~iwr and apps d O:wd h ~ ofwokw>dduago n am sya >aNdba P~ ~ in aemsdaef'~tlw lfiswaaod~ ~'°ds~~ ~ tss ExOdW ~L5u ~vd cc- km 11~4 m A " Oe