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4620 1_2 Penkwe Way
op. 4,1617 6 . 7959 244 j j r ti7 + 2a -; d CITY ©F RMd V i 1 .c) t, .... , : ' rt 146 E 5 6127 { t , 9 12:14 , 6 WI Ad r46 s l'er re L y,k a , Phi' : „Witrar 11ob ,, - > '. raw x r h° P _ 1-23-06 66790 5 ! 'B 44444 Y , 9 7 f 13P 'ro 'rota:- r. v t v , , ._ , t P 4{,ao • • 4 , ` Use BLUE or BLACK Ink RECEIVED ., 3 � f For Office Use si,� City@ Eayll • JAN 042017 Permit#: /1®5 3830 Pilot Knob Road Permit Fee: 6j C - r ( Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax:(651) 675-5694 Staff; 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Yet" 71 XIIiite Addres3: 4... k...14-1L-11°I10-- /1-(7tivt 10.1:;0-7D. � \h._ to, ,, � ..ji.„644...., Tenant: J e ©v it r'e; Name: „it �' Mir s Irro lig Phone: 0- ' ii1 i_13 Gs- 1� 4 p -A Address/City/Zip: -) /. l ' y c � 1�.lY r t L'}�1t t a r/ 04�� £e . ` ' Name: Hilbert Company Inc db a Culligan Water WC'41376. ztt I ,, r' , c License#: ,o P e tg Q��t i 3 e s' (a iai, Address: •18.01 50th St East City: Inver Grove Hgts. el I'l `�� '' x* t'``.: '' •`' state;. Mn Zi 55077 651-451-2241'' � � A P Phone: t.tl °cq ,°' William R Milbert E �� It„� Contact: • Email: fr + i .: � i F ° } ____New _Replacement Repair _Rebuild _Modify Space _Work in R,O.W. `�• ga t"r , , k' '� •I f, Description of work: - aif ,14th °; ' 4 RESIDENTIAL ' tt° cs''j``t ` , Water Heater �,E�avyT;1s��� �yi;, V {' ',, +,9 n,t�P-i t ,,, X Water Softener P'te e ` G s .gO Lawn Irrigation(,_RPZ/_PVB) f -:',r;,, " 90,4 Septic System Add Plumbing Fixtures t Main/_Lower Level) r ��� ' 4th , ,ri '14. New Water Turnaround ;, y, w00,, j ,,Ic Abandonment Ya `1444.. , - �a ,r „.: — RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround'(includes$5.00 State Surcharge) "Water Turnaround (add $200.00 if a 5/8t'meter Is required) $115.00 Septic System New($10.00 per as built)(includes County fee and $5.00 State Surcharge) // TOTAL FEES$ LO , 0 0 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,ctoaherstateonecaif,orq I hereby acknowledge that this Information Is complete and accurate;that the work will bein 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 accordapce w h the approve plan In the; ase of work which requires a review and appro al.of plans. x - ,e� - x jzfiri Applicant's Printed Name Applicant's Signature -t. 9q .:',,-,,,,,,,l, . .t' i( t_ �'';.��($YS '�'-tt. �t„{:w, �:y; ,.qy ",iTi � i-:;'..} .` {q t'tirL-L`ti: ;.iF t{ 3Jj; t� ftg ri'it,s ttror-:ni • ` - G„k ,��5 `•"tii °{ . ;fly 4� ti� , „N:, s v n i i},i, .!„ ";1trs�(,,,0„9ni43},,wkbt(,W�tt (�Sjlll C� „,,„...„,„,,,,,,,,.5,,,,,r,,,,,„,,,,,„r, i Fa®,,e, '. :E'.pity ,� .f„,„,,,,,,,,,444,,,,. a ffi 6 ) Reyi: °” �,tF'w k'gp,,i2.2gt.06,'i n�yr ti zrty PV c T,aaN, r ; .. (t�, y4�fxn 4Cr3�,�+, � :,., }t - � '�'�-*j�', � �< -r,3`; t-?'-J( , t r , t,. ., i .tit4 €t •t- A �i it1ti 1141.4�tf �T 9}4GM ''Y, t:t - " }(, 1 •- a Sr moi' a �. �+ laa '?'�� r }J �Y %�,�'3,j fi .nth � .'L`�i'.,,g, +f�k rs.�,1 e�31,� �t-; rY r� ' ,}J'� �.r��j tt� rt h, 13e• Irse -{ •@tions #. Al`.2 °a : o °y�; WO, °°.tt'' l t1 fait t'S�/f� 4s'ilOz-: :' t,' c�'A'Lar4446tt''4-Srzfh4 '�s'}r� �;h�;-`I i-t,�.�:p�t�' 0 's�)f�;r ,3,m t��.' � Y' y,}t.��";i$�: �' :tis+.;'�,,' ; t� �C�p � �- Ltt+��Fo�,.�.�i� ����,� �,.4� � _it. `, leP Ifs .. ,hyo j,,;? g X15. " it -•''f tk-:lo .:i : xt$, ,r' fi; a ��g%' - ��§j Y,:t "�t a„ r i ,, t,SrM t 4,g,,4 r 1 • e 1 ps �; Y r o o I° 1" o r� { a1 k,t 1 ,, xt r r, NI e ert R-I •• , t m s :; M . .,- ..-. ., lQ,� : . .d.',1-21.,o �'_a,aars u l .t i 2..f a, tmAr ?a�t , ; �P.>'F.� i}`ta• �7..n '�+1a}1•. .."d 1 xri,: .�::x-• i xi�n c d^>J a.,nm-xw mai.- PERMIT City of Eagan Permit Type:Building Permit Number:EA151255 Date Issued:08/15/2018 Permit Category:ePermit Site Address: 4620 Penkwe Way 1/2 Lot:2 Block: 03 Addition: Johnny Cake Ridge 4th PID:10-39803-03-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Heather Hightshoe 4620 Penkwe Way 1/2 Eagan MN 55122 (651) 747-5857 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature