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1564 Baylor Ct CITY OF EAGAN WATER SERVICE PERMIT 3833 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: _ 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. 0 Misc. Charges: Total: By A Q cC), Date Paid: Date of I nsp.: -' 2 7 "' I nsp.: • • CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 1199 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: B Misc. Charges: Dote of Insp.: Total: Insp.: Dote Paid: Use BLUE or BLACK ink For Office Use j Permit It dd _ { ~1~2 - P 9,5- My of Eapn I ~ ~ I Permit Fee: 42- l 3830 Pilot Knob Road Eagan MN 55122 Date Roc: W 13 ~2 I Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 I Staff: 1 2013 2013 RESIDENTIAL BUILDING PERMIT APPLICATION rr y sldq. ~ Date: Site AddressJAEJO 1 Unit`#: Resident/ Name:.#nri 744tH Phone: Owner Address / City! Zip: Applicant is: Owner Contractor Description of work: Type of, Work Construction Cos : Multi-Family Building: (Yes No Company: _ 2 > T UC /t7~ `i en ~G' -~'11~------- Contact: Address: r'3 O ?J !"1 inn ~1ek _ City: MinneaplJfr~.s contractor State: _M I Zip:. 5Y4Yd Phone: _ Z~_ ~ License 197_06Z- Lead Certificate 2 V2197 - If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public If you provide specific reasons that would permit the Pity to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (851) 4540002 for protection against underground utility damage. Cats 48 hours before you interd to dig to rive locates of underground utilities. ww~v r.aor~hert~teonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X. 6/ 2abeA 0~5n cr en .r . Applicant's Printed Name ----LJ Applicar s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA170150 Date Issued:06/22/2021 Permit Category:ePermit Site Address: 1564 Baylor Ct Lot:16 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Timothy M Herzog 1564 Baylor Ct Eagan MN 55122 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature