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Site Address: .4r,7c Lenore Lane L2 311 Ridgy ecliffe IV
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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