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4678 Lenore Lane aS , ,-, - Rir J T t 'illiitell= . '° -. ' ''' 1.4- , Peltter r - -.,. :' : 81 ' ' r . • 'FA - 4 .„„ ! � cit � $'t T QTt,re {SSE L2 X11 1 ;j d l iffc> TV d " , t=r Gerd- Ryan ; C 335 . t00 pd 3 , }fi P+ t Fee: 10 . GD pd 00 000------ ,' ► „ ► ► ' 'a# a 410 pd tutu rNI . Misc. 6O . t, pd tatty fir. s . Date Paid. BY 1. 4 :/, ` irf . SEWER spivics Pettitff hitt -.3I 3s: DATE: - !� /_ op I ' Z 011itiQ: - ry - ' Rio o f unf �. n t hoe (r: it in. ?p1 p_ s4 ? - ,44ea 4 , - t V i , ^ {'. , Site Address: .4r,7c Lenore Lane L2 311 Ridgy ecliffe IV Plumber. 7°117 FN7P 11/2/ /31° 2zq66 100.00 pG 1 :ire to eesril!► write do "teE suss Connection Qe: 4 2 5 pe g liseews. Account Deposit: Pemdt Fee: 10.00 pd Dote Toles: in 4 6 -'•' (' Date Paid: PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129890 Date Issued:03/23/2015 Permit Category:ePermit Site Address: 4678 Lenore Lane Lot:2 Block: 11 Addition: Ridgecliffe 4th PID:10-63983-11-020 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. Applicant: Jeffrey Norblom 1465 Selby Avenue St. Paul, MN 55104 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 - Danny L Laplant 4678 Lenore Lane Eagan MN 55122 (612) 454-6031 Norblom Plumbing 1465 Selby Ave St Paul MN 55104 (612) 827-4033 Applicant/Permitee: Signature Issued By: Signature