4485 Scott Tr SAN WATER SERVICE PERMIT
3 , limb Road PERMIT NO.• .38??
MN: 611V
illif2 DATE: 7/1°1
Zonii : R I No. of Units: 1 dup ex
Owner: - Zachman Homes
Address
Site Address: 4 Scott Trail LI BI Cedar Cliff II
a. Plumber: St Patti Tit/ 1itigs�, _
Meter No.: ` Connection Ch' 335.00 pd
Size: Account Deposit:
Reader No.• Permit Fee: 10.00 pd
1 agree to comply with the City of Eagan Surcharge: • 50 pd
Ordinances. Misc. Charges: .00 pd meter
By .9, ier_e_
7r� � Dat Paid:
Date of Ins • Insp.:
4
CITY
iAGAN I °�- ER_SERRMJCE PERMIT
3T$i'lo't Knob Road \PERMIT NO.: 4419
Eogafl MN 45122 tI �,�, DATE: 7/1(/81
Zoning: RIII No. of Units: L$ duplex
� F
Owner: Zac hmigi asaea_ t
Address: I r
Site Address: pa 4 i 1 ' t ,fail 1.1 lil1 edar Cliff II
Plumber:
6 /17/81 '?5 otou , 100.00 pd
1 agree to comply with the City of Eagan Can ion Charge: 42s .fin pa,
Ordinances. Account Deposit:
10.00 pd
Permit Fee:
.50 rd
Surcharge:
By / / , .• Misc. Charger.
Date C' sp., A�. tal:
Insp.• Dit Paid
Use BLUE or BLACK Ink
r----------------�
I For Office Use I
� � Permit#: � ��/�/ '7' �
Clty of ����� � rmi : �� I
Pe t Fee
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651) 675-5675 � �
Fax: (651) 675-5694 �� I Staff: �
'�L`1, �----------------�
2013 RESIDENTIAL BU�L�DING PERMIT APPLICATION
Date: ' �(.J � Site Address: " ����o���)� ��L�� Unit#:
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e�.�.�� � __��._ —
j Name: 3� � Phone:
� Residentl
Owner Address I City Zip:
� Applicant is: Owner �Contractor
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Description of work: � " ""
T e of Work '�-1�T�b
� Yp �
4 � Construction C . Multi-Family Buiiding: (Yes� /No_)
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� � Company�� Contact �",11)A.�7
� � Address: ��(nl � jj��� City: ��1��(�=�
Contractor �
� State:�Zi L�:_.�._� Phone:��i��`�����cJ� �
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License : Lead Certificate#:
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; If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �
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COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
4
; In 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: �
i
� Licensed Plumber: Phone: �
# (
3 Mechanical Contractor: Phone: � ���
�
�
� Sewer&Water Contractor: Phone:
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! NOTE: Plans and supporfing documents that you submit are considered to be public information. Portions of �I I
j the►nformat�on may be classified as non-public if you provide specific reasons that would permit the City to '
; conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Ca�l 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
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 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
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.
X �L��(�' �1 d����� X 3 �.
ApplicanYs Printed Name Applicant's Signatu
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