4670 Salem Pt ' cITY es Maikti �`' WATr 9MIACE P
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fiseeni MN 55122 [>91A f E' 2 " i `'
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Owner: ( r JP 2nc,T '_lgtlx2 I
Address:
Site Address: /} 67 ! Fit`i 7,0i a,' f 1, E. f . r' 1.' T �: C �,.1 s e 4 th
Meter No.: Connection Charge: 3 s v - - ° ,.,t
Account Deposit:
Sire; P� t:
Reodtr No.: Permit Fee' 1 ° • 00 pd
1 tiosetetteseetly with the City of Neese Surdnarge: • 50 pc:
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Owner: Cr ir_ Thor son ?'Om
Address: t
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Sire Address: ,
Plumber: C.I
10/2/20 { 1 . pd
II some ir wrma* with the City of Byew ; 4? S . 0t1 r ,'
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Account Deposit:
Permit Fee: IC' .00 ne
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Date cif r p.. r � ry / Total:
$nsp.. Date Paid'
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA149403
Date Issued:05/21/2018
Permit Category:ePermit
Site Address: 4670 Salem Pt
Lot:1 Block: 08 Addition: Ridgecliffe 4th
PID:10-63983-08-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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 -
Kurt K Berendt
13220 Willow Ln Cir
Burnsville MN 55337
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature