4694 Lenore Lane WATER 5 J PIRMIT
; 'tomb asad 'PERMIT NO.• . 3757
all 55122 :. DATE: 4/I0181
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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
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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