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