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3476 Greenwood Ct SRESIDENT / OWNER Name: ir- t ■ 'tc , s - 1 - 1,:ir\ t,l ( 66C) C. Phone: C)5 `. r C \`a Address / City /Zfp: � t.. ? ' (..d (,JeS+ 7 r Kt. ' . V �� �" 1� r. w E :ae Q -Lvr \- I m n 5 5 3 `J 1 / Applicant is: Owner X( Contractor TYPE OF WORK Description dwelt Ce..'C () C"" p Construction Cost v' Oct s Up Multi- Family Building: (Yes X_/ No ) • CONTRACTOR Company: 6 (4a_ t -'b - 1 o �i'll t. c-11 N Contact: <c;,r t i~ Address: t_1 [CO tE XC'r-A St Or g \ V d City: 51; . LCA 1 S Pa r - k_ State: VYlY\ Zip: 5 5LI 1 Lo Phone: Cl 6 1 5 -- dd L License #: C tit OD \ 0 50 Lead Certificate #: AM T- 5 03 -/ - 1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No if COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan Issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: NOTE; Plans and supporting documents that you submit are considered to be public Information. Portions of the Information may be classified as non - public If you provide specific reasons that would permit the City to conclude that they are trade secrets, Aug. 1. 2012 12:35PM Sela Accounting 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 676 -5694 Applicant's Printed Name City of Eaau 2012 RESIDENTIAL BUILDING PERMIT APPLICATION No 1661 P. 3 Use BLUE or BLACK Ink For Office Use I / Permit #: / (J -66 5e) Permit Fee: 6- /,) • J�J Date Received: Staff: J Date: / I /I Z Site Address: 3470, 34 - 7Z, 3t17t/ Greenwood C-k S Unit #: CALL BEFORE YOU DIG. CaII Gopher State One Call at (661) 454 -0002 for protection against underground utility damage. Cell 48 hours before you Intend to dig to receive locates of underground utilities. ywv.gopherstateonecall-orq I hereby acknowledge That thls Information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Cl[y of Eagan; that 1 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 will) the approved plan In the case of workwhich requires a review and approval of plans. e xterior 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 a r \Y1 (1_9-JAT-SL._ Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA117763 Date Issued:10/23/2013 Permit Category:ePermit Site Address: 3476 Greenwood Ct S Lot:4 Block: 07 Addition: Surrey Heights 1st PID:10-73000-07-040 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. Tony Boerner 2090 County Road 42 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Lisa M Anderson-goven 3476 Greenwood Ct S Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature