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4496 Woodgate Pt IMAGE EAGAN WATER SERVICE PERMIT 1 95 lot Knob Road PERMIT NO. 1839 Eagan, MN 55122 DATE: 9/26/75 Zoning: RIX No. of Units: 4 Owner: New Horizon Address: Site Address: 4496- 98 -94 -92 Woodgata Point Plumber: uCfn PLuzilb1119 Meter No.: Connection Charge: 640.00 pd Size: Account Deposit: Reader No.: Permit Fee: 10.00 billed ' 1 agree to comply with the Village of Eagan Surcharge: • 50 billed Ordinances. Misc. Charges: Total: By f Date Paid: Date of Insp.: Insp.: VILA GE OF EAGAN SEWER SERVICE PERMIT X 3795 Pilot Knob Road PERMIT NO.: 2598 Eagan, MN 55122 DATE: 9/26/75 Zoning: e 7 No. of Units: 4 Owner: HC,,; Iibri.Z on Address: Site Address: 4 496- 98 -94 -92 agate Point Plumber: Them Won Plumbing Co. I agree to comply with the Village of Eagan Connection Charge: 1700.40 pri Ordinances. Account Deposit: Permit Fee: 1' Q 00 billed Surcharge: .50 billed By: a 7 " Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: Use BLUE or BLACK Ink I For Office Use i Permit P. 1353 4 City of Ear t . I Permit Fee: So 3830 Pilot Knob Road } O I Eagan MN SS122 Date Received: 1 Phone: (fist) 67S-5675 i 1 Fax: (631) 675.5694 arm i Staff: } I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION ✓ ~ Date. Site Address- L-8 fK) ,t H 9 ~a ~i T Name: Phone. Resident/ j Owner Address /City 1 Zip k Applicant is: Owner X Contractor Type of Work Description of work: .Q S\CaLQ~ 1 Construction Cost LACtul 5 Multi-Family Building: (Yes f No Company. ry Contact: a Contractor Address: a City: 0 -e C A~~~ r State: IM Zip: S 3 U Phone: g 1Z ~Z cp1 ~.O License z c_ LA T ( tit Lead Certificate 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 M 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 conciude that they 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.gooherstateonecall.oro 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 1 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. xA 1111 G L- ( k _W - iz- k 1o, i x Applicant's Printed Name Applicant's Signature Page i of 3 U.. tiaa ll~ 55 'vO i 1 > ml f Dab ~ ~7 1 tD=d iQ1011 RESIDEN L 13UILDING PERMIT APPLICATION 20'13 IALACO Site t ptwm t wwvm Address i CRY e ~aa Oww Domm*Aon of 1AAOriC~ 7 (yes - tcnsbuedoa coat ce5 cater- 575tab(? .6571-2-7 0 -_7 15 9.5 5 39 b # ~sa8 LeadCoMMOU 3 3~ s ' u"°naa 3 for addkional Ndatn~) If the project is GOMPt from it~d ~ f whY• (see POP CoWmLM TM AREA ofALY IF COOMMUCTM tale ttlra Cth► for a a~ MM based on a araarW Pte? In ure hat t2 moms. at EaWn hued a pence Yes No it yes. deft aM address of master P • Ljceowd PMantbae Plrons~ 4 likd COab= PUowe: ~ t3owars~ttriesrcoalmour. y.iK+e~~.prsrtait~ NOTO low demft*. CA 46h=S - ate "..".,"~-i- g~ pae Ci act66'tf ~6i'~NQfat poiucyon nwr 1 8~'C~E Y~~ dt ~ od aptias dtlre 4'Mal of i mOol age to Is OOmpteAo Wd aoarodK tug ss wo* . N wa* dad IN "*0 to BW wo* VA be in p,,* 10 a* ft Eagm W t w dwdwd 20 lira d m°isw ~a°d imP ofomno' CadearetMao~P° hbsapPn Ose'awrk 6uan acoooftm* x gL50d ow 1`1g ftp,d$