4631 Penkwe Way x$
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3795 Mot Stash Real PERMIT NO..
lieges, hitt 55122 Mit:
Zoning: No. of Units:
Owner:.
Aeineez i. i T Q' .t
Site Address:
Pleenberi s -
1
t eg res h co reek with the City e1 lege* Connection O •
itribeessee. - Deposiit. .f , ..
Surcharge: -
By Misc. Chow
Date of hI4. Total:
rte.: Date Paid:
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� For Qffice Use 1
. � , C �3�t � � �
� ) � Permit#: !
C��� of �a�a� l6 � Pertnd Fee:' ��.�� �
3838 Pilot Krtt�b Road � �
rxx
Eagan AAN 55122 j Date Received: j
Phone:{651)675-5675 I �
Fax:(659)675-5894 t 5taff: i
i t
. . . . . � . . .. . �� . . . �. . . . . . . .�� � �...���J
2014 RESIDENTIAL BUILDING PERM17 APPLICATtt)N
Date:�"��'"j� Site Address: ��� / � �� � � j�'� ;P��((�4J�i ��Unft'�k
Name: L/f��f�l,�'a� Cr�¢!�j '� I t�xv.-}�?a��r t� � Phone:
Residen�{ ,c� �
{�vl(114!' Atldress I Cit�+f Zip: ,�_���}'�' /- i�"'f �
ApPlicant is: Owner ./1, Contractor
Description of work: ���'''� c��� � �'G` Y'�a�'�
��li�e of WBCIt �
eonstruction�os� j�,t�p � Mut�-Family Suilding:(Yes X /No„_�
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Company:��t'Zs/��f G c�y'!���t'i��5 '� Cantac�: t��rvt �L��Jp�
Address:���j '�Z Z�'t�I�.f �� L�'Z !�'' City:��'�[" �l�C��,�'�
Cc�ntra�ctor �
state� zi �..5�3'j Phane:�f��`"�'Email:t�r���I,3�'zt.��s'?"�c���,/�v�'c.�u
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t,.�cer�se#_ �3 C i,S"� �13 �n e.-�=K
t.eaa certlflcat8#:/!,/�-�'°,..r l��1.i�� -1
If the projec�t is exempt#rom lead cErti#ication, piease e�tai�why: (see Page 3 for additiona!infior[nation)
GOMPLETE THtS AREA ONLY tF CQNStRUCT1NG A NEW BUtLDiN�
!n the last 12 mar�t� , tt�e City of Eaga�issued a permit for a simHar plan based on a mast+er ptan?
_Yes No If yes,date and addr f master pian:
�
Licensed Piumber. Pha�:
Mechanicai Contractor: � �
Sewer�Water-Co+�t r: Phone:
l�+d�: s,at�d�v�ot�in�ds��t�rr�#s#�at yvu svbmit are�arr�sfd�r8at to be�aubf3c ttr;�c��me��: .#�o��.of
r�f+�rma�a�m��ai+��l�ssif��at as�on��r#tli��€ycru prov�c�sp�it"r�r�scrns�rat.w�+�rfd„�e�r��,���r to .;°
canc#�de Et���he ar�e�ra�e:s�r�t�`
CALL BEFORE YDU QIG. Caii Gopher Sf�te Or�e Ca{l at(651}454-0402 for proteciion�ai�st�derground utHity damage. Ca114$hours
before you intend to dig to rec�ive locates ofanderground utitities. www.gopherstateanecall:aru
f hereby adcnowledge that th�iMo�ation is cbmpiete and ac�urate;that the work rreill be in�nformance with the ordinances and r.odes af#he�it}r of
Eagan;tha#i understand this is not a permit,hut oMy an appiication for a permit, a�d work is not ta start withaut a permit;thaf#he wark witi be in
accordance with ttte appraved ptan in'tt�case of wo�tc which r�equires a reviewand approval of ptans.
Exterior work author�ed by a building pernrit issuesi in 8ccordartce w1t#t�e MMt�sota State 'lding Code must be compie6ed within 180
days cf perntii issuance. : � _
x V' 3�'� !/1G,��. � '
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Apptican�s Printed Name " aM's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160431
Date Issued:03/10/2020
Permit Category:ePermit
Site Address: 4631 Penkwe Way
Lot:4 Block: 06 Addition: Johnny Cake Ridge 3rd
PID:10-39802-06-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Bradley J Schwichtenberg
4631 Penkwe Way
Eagan MN 55122
(612) 384-9551
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature