4690 Lenore Lane WATER Enzyme 1
f ro R PERMIT NO • 374 .
U122 DATE 4 /1t? / &I
' No of
i I1 . U n t ts: 1 unjt trhs
� Orrin Thompson Homes
4590, Lenore Lane 13 M2 Ridge Cliffe ZV
`
Ganz Ryan
It r..No Connection Chorge: 335.00 pd
Size: , Account Deposit:
Reader Na Permit Fee: 10.0
R a aid► t . of s Surcharge: . 50 00 , p ct
Mist. urges: 60.00 nd meter
Total:
Date Paid:
Of
1 < . �a4 Row 4f, 90
� � w ..... t No. of r°�lln n nzs.e.
der o . � �� , ,
�15ldre�
$ 1 4890 Lenore Lane L3 812 Ridge Cliffe IV
: Cenz Ryan
3/24/31 23868 100.00 pd
with tb City edhew
etaismosim Olaege:_ 421 .00 Pct
Account [asposit;
FMnesit For 1 0 _00 pd
BY ✓�' �_ Sun: Mtge: , 50 pd
Dote Miec. rfharo'
lrsP .; " - Date Paid:
4
Use BLUE or BLACK Ink
r For Office Use I
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City of E
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Permit#:Permit Fee: DI
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 L Staff:
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: —9`7 7 Site Address: 2-1 9 U r-e-- //
Tenant: Suite#:
t Name: Phone: 1
Resident/Owner I
Address/City/Zip:
Name: ifres4.r /L974. r-1,13 i..,--D / LLC License#: `2 6
Address: l 2 41 L i-- -(//e--' City: C ti` '
Contractor _ / _
State: I"Z-N Zip: JI) /2 Phone: C� t7— 7 '.7 '( - ‘I C
Contact: e�s-�r Email: VT-"S.04y &e.S4 'p/ 61-'..
New _Replaceme _R pair _Rebuild Modi y Space _Work in R.O.W,
Type of Work — ��` 1
Descri•pti•on of work C [(J//r
RESIDENTIAL I
i ? Water Heater
Water Softener
Lawn Irrigation( RPZ/_PVB)
1
Permit Type Add Plumbing Fixtures( Main/ Lower Level)
Septic System —
f Water Turnaround
New
S 4 e
Abandonment
RESIDENTIAL FEES: 3
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) s
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge)
*Water Turnaround (add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge) •
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecaltorq
I 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 • • -•
x /?US /V .6';✓` -ke- , 1--, x I`
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff: