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4631 Ridge Cliffe Dr CITY OF EAGAN " - - _ 3830 toad WATER SERVICE P ERMIT P. O: Bo, 2`t199 PERMIT NO.: 7965 Eagan, N 55121 DATE:. " ; 9_24_86 Zo No. of Units:- 4 —Pik Owner: GCS Value . <m Address: f j ilk G /if 'e. D I' Site Address: 43i 4 Plumber: NiCkcattlatt -Pluto- -hint " Meter No Connection Charge: SAG 4 i Size: Account Deposit: 15. OO i � Reader No.. Permit Fee•1G, 1 agree to comply with the City of Eagan Surcharge: .500 - Ordinances. Misc.: Charges. . 156.0 T otal: ELI ��n__. a.�..: - By Date =Paid: 4 Date of Insp.: 9e. a'7 insp.. CITY OF EAGAN i SEWER SERVICE PERMIT I 3830 Pilot Knob Road' !' ', n P.O B9i2i?199 -- i PERMIT NO..: Eag 3MN 55121 i '' DATE: / ,, � i 9119 9-24-86 Zoning: ' , of Units:' - \ 4--T .+ Owner: CQC►d Vae1I, . t r\,. i Address: , { =•yc ' \1I ,,,s. t _ A Site Address: ' 631 Petxk*aE t z 1 `B v Ran .4th Plumber: Nickelson, elson Plt ixxg ° `a` w 9-23-86 : 66784 t 100..00 d ... 1 erne to oomp omit the Cit of go n Co Charge: 47 C `. Ordinances. 1 Account Deposit: IS f t Permit ` Fee: 1 O - Ont.: Surcharge: -- - 501 By Misc. Charges: Dote of Insp.: Total: lnsP• Date Paid: � a�" r` ��� � ��� �� � � t� U � �v ___ Use BLUE or BLACK Ink � For O�ce Use i Ul�� U�11���� j Permit#: � ��L �� j � �-`r�% � 3830 Pilot Knob Road � Permit Fee: v � Eagan MN 55122 � I Phone:(651)675-5675 � Date Received: I Fax:(651)675-5694 I I � Staff: � ,. �����������������J 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: Site Address: Tenant: Suite#: � � . Name:�I�;�J1�� �.� � ���� Phone: ���� ���� ���� Address/City/Zip: � 4i 'j,� :' Name: Q i'"t U Y � "�" � _License#: �l I � U �� S ?j Address:_��C��U Q!' ` �' �'" _City: State:�Zfp;����_ Phone; I��c�1' �-�'�7 � �1 �Z Contact: Email: �jl(�'_'r�,� I�C 4Y�et2c�uy'a.lr Cc�t� _New �Replacement ,_Additional Alteration Demolition � Description ofwork: �.� Q, � ��' � �w,� �� e� , , � ;� „� �����,n ��+�'�' � �P, ���,� r, RES/DENT/AL COMMERC/AL Fumace New Construction Interior Improvement e; � �Air Conditioner _Install Piping _Processed _Air Exchanger _Gas _Exterior HVAC Unit _Heat Pump _Under/Above ground Tank (_Install/ Remove) Other — RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) (� $100.00 Residential New(includes$5.00 State Surcharge) _$ �V TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 "If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 -$ Surcharge* ***If the project valuation is over$1 million,please call for Surcharge _$ TOTAL FEE I hereby acknowledge that this information is complete and accurate;that the work will be in confoimance 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. � l��`1Y lL � _____���� � x X i����/ ApplicanYs rinted Name ApplicanYs S�gnature �'�k PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165641 Date Issued:11/12/2020 Permit Category:ePermit Site Address: 4631 Ridge Cliffe Dr Lot:1 Block: 01 Addition: Johnny Cake Ridge 4th PID:10-39803-01-010 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Michael Lorentz 4631 Ridge Cliffe Dr Eagan MN 55122--371 Hessian Plumbing Services Box 22172 Eagan MN 55122 (651) 681-8252 Applicant/Permitee: Signature Issued By: Signature