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4205 Malmo Pl CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: —_ Owner: • Address: Site Address: _ Plumber: Meter No.• ___ _. Connection Charge: _. Size: Account Deposit: Reader No.• Permit Fee: agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: — By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: tia /tilt Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.• Total: Insp.: _ Date Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA127848 Date Issued:10/16/2014 Permit Category:ePermit Site Address: 4205 Malmo Pl Lot:12 Block: 5 Addition: Wilderness Run 5th PID:10-84354-05-120 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Kathy Espelien Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Krista Nelson 4796 Eriks Blvd Eagan MN 55122 All Sons Exteriors Inc P.O. Box 146 Lakeville MN 55044 (952) 469-5221 Applicant/Permitee: Signature Issued By: Signature