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1392 Lakeside Cir CITY EAG WATER SERVICE PERMIT 5?95"Pilot Knob Road PERMIT �, NO.: i ' . Fagan,.MN 55122 DATE: x Zoning: � i No. of Units: Owner: 14"-C } . Address: Site .'Address a w > ` t§ # . 11 ; Plumber: ;-, Meter No.: Connection Charge: -"=' }' Size: Account Deposit: Reader No.: Permit Fee: I agree to comply with the City of Eagan ' Surcharge: # i € Ordinances.. Misc, Charges. Total: By • / . Date Paid: Date of Insp.: `11211f.fir Insp.: CITY Off. EAGAN SEWER SERVICE PERMIT S7 Pilot Knob Road PERIMIT , NO.: { Eagan, °4N 551 22 DATE: `s ii Zoning No. of Units: Owner - - Address: Plumber: 1 agree to comply rth the City of E ae on , N C on E r ►ection Ch arge; Ordinances Account Deposit: " Permit,„Fee: . ii By ' � M isc. C harges: Dote of insp.: Total: n Date Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA177926 Date Issued:07/25/2022 Permit Category:ePermit Site Address: 1392 Lakeside Cir Lot:021 Block: 04 Addition: Ches Mar 1st PID:10-17100-04-021 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Mark Roller 1392 Lakeside Cir Eagan MN 55123 (612) 741-3052 Walker Roofing Company 2270 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature