4706 Lenore Lane 4AGAN WATER SERVICE PERMIT N ,
Knob R PERMIT NO. ��
r 55122 DATE: 8 /25 /E1
RIV 1 unit to me
Owner: Orrin Thompson Homes
:!
site Address : 4706 Lenore Lane L3 B14 Ridgecliffe 'TV
in Ganz Ryan
Metoro.: Connection Charge: 335.00 pd
Size: Account Deposit:
Reader No.: Permit Fee: 10 p
1 agree to comply with the City of Eagan $`urchorge: • 50 pd
Ordinances. Misc. Charges: 60.00 pd meter
Total:
By 6,4,4_,... Date Paid:
Date of lnsp94 � - - -� - ' Insp.:
c .0 AA\ SEWER SERVICE . RMI
3 I bR T4 54 +
- 11 0 14 55122 DATE: 8/25/31 +
honing: t RIV No. of Units: 1 unit Itnhae
Owner: Orrin Thompson Homes
Address:
Site Address: ∎ 4706 Lenore Lane L3 B14 Ridgeclif f e 7
Pturriber: C-.s+ny Ryan
8/14/81 26296 100.00 pd j
I ogres to cO y with the City of Eagan Connection Charge: 425 , 00 pd
Ordil'anees• Account Deposit:
Permit Fee: 10 p 1
+ Surcharge:
8y Misc. Charges:
Dote Total:
Insp.: i 1 - u - tt Dote Paid:
Use BLUE or BLACK Ink
�-----------------�
� For Office Use �
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(���� 0� n��n� � Permit#: i
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� Permit Fee: I
3830 Pi�ot Knob Rdad � �
Eagan MN 55122 Ju� O � ����
� Date Received: �
" Phone: (851)675-5675 � star�: j
> ' : Fax: (651j 675-5694 -----------------�
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
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Date: � Site Address:
Tenan�: Suite#:
RQ5id@Itt/OW11eF Name: �,; GC Phone:�G�����?��'/'�� l�lj
�� Address 1 Cify/Zip:�`��� �'--' � � �� �
Name: ' �� � � t � i License#:
COqtidCtOC ` Address: �' r' City: �. � Gr�
State:�Zip: ��.��� Phone: t(/'J�'�`����/ �
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Contact: I/�/C,�-i +"�l Emaii: � ,C"h� �' . �`�f.•'1
Type Qf WOt"k —New _Replacement _Repair _Rebuild _Modify Space i Work in R.O.W.
�
Description of work: '
RESIDENTIAL �
'� Water Heater
Water Softener
Lawn Irrigation(_RPZ 1_PVB)
Pet'tlllt Type Add Plumbing Fixtures(_Main/_Lovugr Level)
Septic System
New Water Tumaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Saftener, or Water Heater and Saftener(includes$5.00 State Surcharge)
$60.00�awn Irtigatiorl(includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Tumaround*(includes$5.00 State Surcharge)
*Water Tumaround(add$200.00 if a 5/8"meter is required)
$115.00 SeptiC SYStem New($14.40 per as built)(includes County fee and$5.00 Sfate Surcharge) r�,
TOTAL FEES$�C��
CALL BEFORE YOU DIG. Cail Gopher State One Call at(651j 454-0OQ2 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utiiities. www.aoaherstateonecaiLorg
i hereby acknowledge that this information is complete and accurate;that the work will be in confarmance with the ordinances and codes of the City of
Eagan; that ! understand this is not a permit, but only an application for a permit, a�d work is not to staR without a permit; tha#the work will be in
accordance with the approved pI,n in the case of work which requires a review and approval of placis,. ` ��
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x I,! l.�`t � `L�r► �!��.01.�� �
Applicant s Printed Name Applicant's Signature
FOR OFFICE USE ` Reviewed By: Da#e:
Required Insp�ctians: ' tJnder Grountl Rough-#n AY Test Gas 1"est ` Final
Meter Related Items: Meter Size Radio Read Mant�rrr�ter Staff: