4678 Marquis Pt 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:
I agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By � Date Paid:
Date of Insp.: //"' : 'Erb Insp.:
CITY OF EAI3AN SEWER SERVICE PERMIT
3795 a Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
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:Mechanical
Permit Number:EA129991
Date Issued:03/30/2015
Permit Category:ePermit
Site Address: 4678 Marquis Pt
Lot:4 Block: 05 Addition: Ridgecliffe 4th
PID:10-63983-05-040
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.
Applicant: Janel Behrends
122 West 3rd S
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 -
Stacey A Falde
4678 Marquis Pt
Eagan MN 55122--263
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature