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4446 Johnny Cake Ridge Rd VIU4$E F EAGAN 3A/M t° WATER SERVICE PERMIT �rv �cR 32.5!Piiot Knob R;0441 ;S Q9 , PERMIT NO.: 1898 Eagan, MN 55122 Q V DATE: 12/12/75 Zoning: RII () __ No. of Units: 4 Own New Ho � l w e o o- agatte XII Address: (A Site Address: 4444 X 0 = 50 Johnny Cake Ridge Plumber: Plumbing CO. Meter No.: 41 C 4 b i ge 2 Ction Charge 64fl.0° Pd Size: if. 7 � Account Deposit: ] g. 00 v X�i13 est[ Reader No.• i O Permit Fee: .3o billed 1 agree to comply with the Village • Eagan Surcharge: Ordinances. Misc. Charges: 7c jr/ Total: By r Date Paid: Date of Insp.: f Insp.: %nu e; OF EAOAN SEWER SERVICE PERMIT 379; Pilot Knob Road PERMIT NO.: 2655 Eagan, MN 55122 DATE: 12/12/75 Zoning: RXI No. of Units: 4 Owner: New Horizon ids Noo gate III Address: Site Address: 4444 46 - 48 - 50 JOhtuiy Cake Ridge Plumber: meson Pltunbillg Co. I agree to comply with the Village of Eagan Connection Charge: P Ordinances. Account Deposit: Permit Fee: 10.00 billd Surcharge: L 50 billed By: ' 1 -2 7-- Misc. Charges: Date of Insp.: otal: Insp.: Date Paid: Use BLUE or BLACK ink r - l For Office Use ~ City of Eap j t n Permit* l Permit Few. .15- 1 3830 Picot Knob Road i i Eagan MN 55922 l Date Received: f } l Phone: (659) 675.5675 } 1 Fax: {659) 675-5694 1 StafF 4 l l 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: L ac r° Name Phone: Resident/ Owner Address 1 City / Ztpc Applicant is: Owner X Contractor 6 Type of Work ' Description of work _s -7bb y Construction Cost: Multi-Famity Building: (Yes i No Company: C l Contact A Y-% Contractor Address: Q City. 0 CI State:-NW Zip: 553 U'2_ Phone: t o 12 ~7_T 61 Lo s' Y^ License* G y T-I t Lead Certificate ' j Cj' l G ®1'S 1 If the project is exempt from lead certification, please explain wiry: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Licensed Plumber. Phone-. Mechanical Contractor: Phone: Sewer & Water Contractor: phone. NOTE: Mans and supporting documents that you submit are considered to be public Information. Portions of i the information maybe classified as non-public if you provide specific reasons that would permit the City to aonctude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utilty damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.qcvherstateonecall.org 1 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. p~er~nmit Issuance. t p p Applicant's Printed Name Applicants Signature Page 9 of 3 "~AA(o, 4qq~; "~4 1/lJy, Um M.UE or W" Ink 1 ForORioe!!ee i 5 L Pwntit F d hp 1 M39 Plot tcild, tit ; ~ Eagan tit 56421 i Phone: (661) 6754875 i step t ft=(651) 678•f56" 1 PERMIT APPUCA ` RESIDENTIAL BUILDING vC~ ~cQ . oatia• - SHeAddrew. It V. i7 ~z :L 1 6 ®r~~A a lnA AIZ g Ptrone Riisidenf/. _ OMer Addrom ! City ~ zip. owner Daecri to of %%vdc Type of Work ~ / No Corudian Cost Mkt-Ff! COMPW. Addrew 156 t b-49L Wli P car- - Contractor ~J ~5'~ - 2.""7Q tee: M1 zk pw :5 -73? 6 If the p wd is enmpt *on Ind Medico, pWam mom why: (sue Pale 3 for { COMPLETE TM AREA ONLY IF CONSTRUCTING A NEIN BtNLfNNG In the last 12 awnths, has ow city of Fagan issued a permit for a sirssar plan based on a master plan? Yes No If yes, date and address of master plem . Licensed Pkw*or. phone: Phone: Yscharoral Canksefor. Phone: ; Contractor. Sevier 8, Wabarp~ ins Of rrbm>t ar+e c of to he m. f WOTIa• fans are#s ipporf ng do unfet s:i t you s sii c teasops that would permit the City to the i~ ~y be clod as noPj)ubhC if you Aro+nde secrets. w Conclude that theye trade x+18 hotxs RE~E YOU i)Ks. Car Cophw Sae Ow Con at (M) 454 M for aowson wrist ~ LtRy , bebre you 6dend to dig to mWW locales of crxierW=W uWGs- altd codes of the Get of WO 20 i hereby W*nowsedge ow iiis k*ansdon is wropleft =d a mrds: ine work ~d in ambVINGING is w a perm to iha sock ,eC be in Ewan; W 1 underslrgrd this is not a pemdt, but any an appilcatim for ~ accordance vft ft approved pbm in to terse of vmkwhM ExbwW work audwrbad by a buildiag peewit issued to acoordaece wilk the Masada 81M0, 1300111011 Corti mast be somovied war 100 dw ON permit immium x S WOE PAkL5Z)d i Ck,t mown- x fltp~- P*ftd Hame !9-#,6m4v-mYNR- S m, Pap 1 of 3