1768 Bluebill Cir CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.
Eagan, MN 55122 DATE:
Toning: No. of Units:
Owner: — —— Address: - -- -
Site Address:774 f
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:
Y o ,
Date Paid:
Date of Insp.: AV t • Insp.•
•
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
toning: —_ No. of Units:
Owner: _
Address:
Site Address: — — — — —
Plumber:
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:
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Use BLUE or BLACK Ink
For Office Use
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on Permit
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City of Ea
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3830 Pilot Knob Road Permit Fee: 14
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t Date Received: I 12 _ i
Eagan MN 55122 l
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Phone: (651) 675-5675 I Q~ Q, i
Fax: (651) 675-5694 I Staff. E~ IL i
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2013 RESIDENTIAL BUILDING PERMIT APPLICATION
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Date: 13 Site Address: I'M 1-7&o 17(q:l, 17Co. 17
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s Name. Phone:
Resident/
Owner ~ Address 1 City / Zip;
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i Applicant is: Owner Contractor
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Type of Work Description of work: ~Qy dJ++ rti
rrt Multi-Family Building: (Yes / No
Construction Cost: -17 ~~Q )
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Company: cr~1~@P t~-acs~lc+s6^. Contact:_ Dq_r
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Contractor Address: City: ! ° t+rle~t~~~
1 State: MN Zip: Phone:
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License #:-is(- <9 (.p b wy _ Lead Certificate A) P-F - JO ? ° l
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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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 +t£ Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public lnfbrmation. Portions of i
the Information may be classified as non-public if you provide specific reasons that would permit the City to
L conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities.
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 penult, and work is not to start without a-pennit; 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.
Applicant's Printed Name Applicant's Signature
Page 1 of ,3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA158080
Date Issued:09/24/2019
Permit Category:ePermit
Site Address: 1768 Bluebill Cir
Lot:6 Block: 02 Addition: Town View 1st
PID:10-77100-02-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Solon W Pierce
1768 Bluebill Cir
Eagan MN 55122
(651) 649-1115
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature