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4672 Jackson Pt = - i t j ftRM g T >: R ly ti w � , , fit x .. * t Stu:. _» I � 153 ,11 n ' WY'JW '.:r w B �,� Date Paid: Date : of feulp,: /�� !max: r sr/Os-Pito scoot, Reed ' f GRM T NO. ' , h11 SS122 DATE: ii r n el : ^ No. of Units: ? } t, . C` { ter: �'r 4 r' " 301 '�l; Address: . . ` • - ) 0 1 \ 1 o N one• r °csi .nr_ 7, , c ,�Yt 1 = Sr�e Acidness:- , � Plumber: ,t• .� ; 1 egNrse ow* with the Cih .f Sagan Connection Charge: 4 2 CO r) 0. Account _ Deposit: in ,, Permit Fee: ,, 1,-,1,-,c7 (' Surcharge: f t? ' BY Misc . charges: Date ( . r , Total: Insp.: f - v c Date Paid:. , PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA162900 Date Issued:08/04/2020 Permit Category:ePermit Site Address: 4672 Jackstone Pt Lot:4 Block: 07 Addition: Ridgecliffe 4th PID:10-63983-07-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Michelle J Bleess 4672 Jackstone Pt Eagan MN 55122--263 (507) 403-9858 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature