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3614 Denmark Ave - Service Permits CITY of EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. 0. 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: agree to comply with the City of Eagan Surcharge: . Ordinances. Misc. Charges: Total: By Date Paid: Date of I nsp.: I nsp.: CITY Pilot EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob'Road P. O. Box 21199' PERMIT NO.: Eagan, MN 551?1 DATE: Zoning: _ No. Of Units: ` Owner: S r i Address:. - L Site Address:, i r Plumber. 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: B Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA123361 Date Issued:06/05/2014 Permit Category:ePermit Site Address: 3614 Denmark Ave Lot:11 Block: 01 Addition: Crossroads Of Eagan PID:10-18700-01-110 Use: 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. Tony Boerner 2090 County Road 42 W 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 - Crossroads Ptnshp 1500 Mcandrews Rd W Ste. 100 Burnsville MN 55337 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature