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4678 Salem Pt n C . j NY 5 s-. /I ` , . / L...III L 1 zA 34 4HM 4675 ; ..�',, 1 . p i n 1 i . yen t)„,,.. �" ' . ` ,� 4th '' . t r info: Connection. Choroe: ' 5 O vst " " Account Deposit: . - No.: , Permit Fee fi ss y wife 16. :If lig e° ' �: . 50 Misc. roes 6^ : O0 d ^et r .er Total. f;Y Dote Paid: e of Insp.:. :''.,1e - ii'$ insp.: 3 fts . Past 116610 SERVICE- PERMIT *eal PERMIT NOf &ten, MN 55122 Zoning: DATE: owner: No. of units: x t Address: i 0 W/1m to empty whit ihe c* of .wee Connection Cgarom Account Deposit: Perrr►it Fee: BY Surcharge: Date Of - Ifls¢:: f Misc. Charges. To insp.: / Total: Date Paid: PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174930 Date Issued:03/01/2022 Permit Category:ePermit Site Address: 4678 Salem Pt Lot:4 Block: 09 Addition: Ridgecliffe 4th PID:10-63983-09-040 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Eltjon Banushi 4678 Salem Pt Eagan MN 55122 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature