3050 Shields Dr Unit 107City of Eagan
Site Address: 3050 Shields Dr 107
Lot: 300 Block: 01 Addition: Lemay Lake Hills Townhomes
PID: 10- 44651 -01 -300
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type
Comments: Charles Kes
7401 Central Ave. NE
Fridley, MN 55432
763 -502 -8228
Fee Summary:
Contractor:
Northern Plumbing & Softening
7401 Central Avenue North
Fridley MN 55432
(763) 502 -8228
Manufacturer Serial Number Remote Number Line Size
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total: $60.00
- Applicant -
PERMIT
Permit Type: Plumbing
Permit Number: EA106301
Date Issued: 08/17/2012
it o f R. 81 Permit Permit Category: ePermit
4 u
$55.00
$5.00
Owner:
Troy E Grossman
3050 Shields Dr #107
Eagan MN 55121
0801.4087
9001.2195
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