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1658 City View DrVILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO • Eagan, MN 55122 DATE: Zoning: No. of Units• Owner• Address • Site Address• Plumber• Meter No.: Connection Charge• Size: Account Deposit• Reader No.: Permit Fee: 1 agree to comply with the Village of Eagan Surcharge• Ordinances. Misc. Charges• Total - By Date Paid• Date of Insp • Insp • VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO • Eagan, MN 55122 DATE• Zoning: No. of Units• Owner Address • Site Address • Plumber• I agree to comply with the Village of Eagan Connection Charge• Ordinances. Account Deposit• Permit Fee• Surcharge • By: Misc. Charges• Date of Insp.: Total• Insp.: Date Paid• Date: G!tyofEaffa 3830 Pitot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 � L511, t (P P , ices% le (0 O (e(-, (.4,(oLl -4; Use BLUE or BLACK Ink 1 For office Use Permit t: I S-7 36/0 I1 Permit Fee: Date Received: I Staff: 2016 RESIDENTIAL UILDING PERMIT APPLICATION C- 28 2oi b Site Address: Ci View Dr. / Eagan / 55121 Unit #: ASV- /tfc y Resident! Owner Type of Work act° Name: Valley Ridge Townhomes Address / City / Zip: 1650 City View Dr. / Eagan / 55121 Applicant is: Phone: e Nilr Contractor Description of work_ V 4 4 0,1 Construction Cost: — 2* 3 e3,4,1 uiti-Family Building: (Yes / No ) Company: Capital Construction, LLC Address: 406 Gateway Blvd. Contact: Cole Quinnell State: MN Zip: 55337 License #: BC645094 City: Burnsville Phone: 952-222-4004 Email: cote@capitaiconstruction-llc.com da f the project is exempt from lead certification, please explain why: NAT -F156131-1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the Iast 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: Phone: Sewer & Water Contractor:- Phone: Fire Suppression Contractor: Mechanical Contractor: Phone: NOTE: Plans and supporting documents that you submit are connsidered to be public irirurm the information may classified as non-public if you provide specific reasons that would conclude that the are trade secrets. CALL BEFORE YOU DIG. Cali Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive lutes of underground` utilities. www.c1ooherstateonecall.orq 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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; 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. Cole Quinnell Applicant`s Printed Name lefreze:617.11,9 Applicant's Signature Page 1 of 3