3619 Crossroad Ct - Service PermitsOF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoning:
Owner:
WATER SERVICE PERMIT
PERMIT NO •
DATE.
No. of Units.
Address.
Site Address
Plumber:
Meter No.: Connection Charge.
Size: Account Deposit.
Reader No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge -
Ordinances. Misc. Charges:
Totol: `+=
BY 0;te Lt.), Dote Paid:
Date of Insp.: S/d 5' Insp.:
. OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 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.
Dote of Insp.: Total.
Insp.: Date Paid.
City of Eagan
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA131726
Date Issued: 07/06/2015
Permit Category: ePermit
Site Address: 3619 Crossroad Ct
Lot: 22 Block: 01
PID: 10-18700-01-220
Use:
Addition: Crossroads Of Eagan
Description:
Sub Type: Residential
Work Type: Replace
Description: Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:
ME - Permit Fee (Replacements) $59.00
Surcharge -Fixed $1.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
- Applicant -
Owner:
Crossroads Ptnshp
1500 Mcandrews Rd W Ste. 100
Burnsville MN 55337
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.
Applicant/Permitee: Signature
Issued By: Signature