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4694 Lenore Lane WATER 5 J PIRMIT ; 'tomb asad 'PERMIT NO.• . 3757 all 55122 :. DATE: 4/I0181 ittonitio, :tIL No. of U rdte l ^ri•i Thompson Rotaes 9 A ddress: . 4694 Lenore Lane L2 B13 Ridge Cliffe IV Peer. Lenz Ryan Meter No. Connection Charge: 335 " . 00 pd Size: Amt Deposit: Reader No.: Permit Fee: '0 . 00 pd spree to eel► witliri cif of i Surcharge: . 50 , $ d „op m isc. charge= 60.00 pd meter Total: Date %id Dote of 1 3 /— insp.. per SAVO MIMI PERPAIT poilik ? CA E. 4/l{ Y _ rig :Pia. of UnE : t T i r t { wne Site Address: 4trs"34 T:mrnrn T, ne I.? . ,I .idf47*- ffe TY Plyr: ren7, iva", : /24 /;.'.I 237 100.00 pc' lapse t o tridNM OW of k . C o n n e c t i o n c h a r g e : - 2 ` _ 0 C 1 Account Wit: Permit foe: 3 C _ n' ro sun g0 ro B y Misc. dtargep r Tafel: 1 3 - /- * Date Paid: PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA146832 Date Issued:11/16/2017 Permit Category:ePermit Site Address: 4694 Lenore Lane Lot:2 Block: 13 Addition: Ridgecliffe 4th PID:10-63983-13-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 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 - Jane M Peterson 4694 Lenore Lane Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature