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4427 Cinnamon Ridge Cir04/18/2014 13:53 7635193932 04/13/2014 12:33 7695193332 C!tyotEag,aii 3330 Pilot Knob Road 6.agart MN W1222 Phone: (651) 67S-5676 Fart; (651)676-5G94 PAGE 01/03 PAG 01/01 Use BLUE or SLACK Ink FOr Otlles LI u t :nrdt 4R: r m_ q-T((&Iiy Pond trod; gate Rived: Stall; 2014 RESIDENTIAL/PLUMBING Roam APPLICATION Site Addrese: '7 9(9 o e r . Date: 1-1• $ • �( Tenant • t✓olrbDf suit*: Name, 5 P 1 w e- f i e rc e.- Phone: e j -5?o - YR 7 Address /cls Ttp 4ya,� Cl v>ny�v n IZ �c(� c C•1 e .�... .,,.. ms---�•--^ ��--�"""' Nome: �(�D� e ✓ r.idenee IWr „J.�m ii it Address I l l5y- a 6� city 3 I y n'toLA-1- stew l -state: ,1 yi 0 zip: t5S W 7 Phone: _l to 3. ¶ r 3'0 `/ Contact: rCLIYI I' era. (e Email: c� ( �� 5� • (O' 'otywohc _Vomit ire,. NOW 1, Replacomerd Repair beee dptInn of %yank: RESIDENTIAL _Water Healer Lawn Irrigation (RPZ Septis Syetem New _,. Abandonment Rebuild Modify !Voice ^1Work in R.O.W. Water Gediener Add Plume/lig Photons ( Main /, L,ow+ar Lewd) Water Turnaround RESIDENTIAL FEES: S: $60.00 Water Heater, Water Softener, or Water Her an Softener (Includos 35.00 State Sncher a) $130 .011 tAVll° Irrigation (includes 35,00 mirtartern Stale Surcharge) $60.00 Add Plumbing FI3dures. &+anticgtsionahn C ', Waw Turnaround* (inc!ad 36.OQ Slete Surcharge) 'Water Turnaround (edd 5200 :00 if a Sir meter required) $116.OI4 .I 3 ; ,az J .. ("S1i1a0 per as btnit) (includes County tee and SS.00.6tatte St^rrarstge) TOTAL PEES $ Co 50.0 %^ ^ :R r err '`^!_.F DIG. Call Gopher;lt:drr Ono Cad at pal) 45F-0002for protociton against undmrgrmynd utility damage. intend to diS1 to receive locates of underground rttllltlea.Mc niw.a-rwgwpsrai,I kegnmall.2t�4 I hereby ootmowledpo /rut thla inroiTor ,cn la carver, grd as trlero: inY lye :-1; rtti! by _ =Kafttr = ICI 11i Y1MV:'^x�n�� : y art r. d S aft ea CIV qT Eagan: ttaL I. understand thin nor ra permit, .`,ut only an applcal7:-+ :Iv n porn:c, wgirx a:n:: ,.;; .. a !w:rrr::hut ;no uhtf:l rd;,; accordance Wen Inn aper arer, pian in the tibSB of wont xS:la` refJtrirD ruvtcw rim agr'l' Stoi of °lens. Anigioanes 10 ''i=OR OPPICE USE ' Rimorw iiF yt' • •' .•4 . • •.Required.lnspeeUons; 'Wide!' Groupe • IRoug _ _.. ;Meter. Related' Vienna: : eiteteyi ;Rradin'E s • �;. CITY OF EAGAN 3830 Pilot Knob Road P. 0.&'ox21199 Eagan, MN 55121 WAR S VICE PRAT PERMIT NO • DATE. Zoning: No. of Units. Owner: '-Vrit Address. Site Address. Plumber Meter No.: Connection Charge. Size: Account Deposit. Reader No.: Permit Fee• agree to comply wi a City of Eagan Surcharge. Ordinances. Misc. Charges. Total - By Date Paid. Date of Insp.: - Insp • CITY QF EAGAN SEWER 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 1 agree to comply with the City of Eagan Connection Charge. Ordinances. Account Deposit. Permit Fee. Surcharge - By Misc. Charges. Date of Insp.: Total. Insp • Dote Paid. Oct. 18. 2013 8:59AM Crest Exteriors 651-463-8095 4401 C!ty ef Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 676-5675 Fax: (661) 675.6694 P. 17 Use BLUE or BLACK Ink For Office Use Permit 0: Permit Fee: itign Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1D-11-15 Site Address: 1 J Unit #; Name: d()seTNnielS p g - Address / City / Zip: Li 2.77 C ( r `Y Applicant is: Owner V Contractor Description of work: r Construction Cost jJ— Company: �1�1e-� J , `�r le x 10. .Contact: t \'RQ 1 S Multi -Family Budding: (Yes ^/ No Address: Slate: f iU Zip: .c41 / ty; Of\P I Phone: :'- G Z License fit: 2 ZL-I 6 Lead Certificate it: 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 V No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Phone: NOTE; • . x as if e'l � ,r , r1.J1IT1!t irli5CLnI7 ' C►.efs. CALL FIEFO_RE YOU DIG. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage. Call 46 hours before you intend to dig to receive locales of underground utilities. vi!_a_o_0110.LslattiagII.or 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 permll; that the work will be in accordance with the approved plan In the case of work which requires a reNew and approval of plans. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Buliding Code must be completed within 180 days of permit Issuance. sj : t: d r: be ub/ic Infor tat• 9ovktp. X Applicant's Printed Name x Applicant's Signature Page 1 of 3