4703 Markham Pt CITY OF EAGAN WATER SERVICE PERMIT
3745 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner: _
Add ress:
Site Address:
Plumber:
Meter No.: _ Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
I agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges: _
Total:
By -� :. —� - - Date Paid:
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Date of Insp.: 3 - - a 0 -- Insp.:
CITY OF EAGAN SEWER !E PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address: _
Plumber:
agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
B y Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA120259
Date Issued:01/29/2014
Permit Category:ePermit
Site Address: 4703 Markham Pt
Lot:3 Block: 11 Addition: Ridgecliffe 5th
PID:10-63984-11-030
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.
Diane Wagner
1770 Gervais Ave.
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Linda C Lawrence
4703 Markham Pt
Eagan MN 55122
Perfection Heating & A/c
1770 Gervais Ave
Maplewood MN 55109
(651) 777-7620
Applicant/Permitee: Signature Issued By: Signature