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4318B Clemson Cir CITY OF EAGAN WATER SERVICE PERMIT 3830Ri lotAppla Road P.O. Box,1 9 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: - Owner: Address: Site Addess: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to comply with the City of Eagan Surcharge: Ordina es. Misc. Charges: C 4i f/ Total: By Date Paid: Date of Insp.: 37 b 4g 7 Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P.O. Box 24199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: z Cr Plumber: I 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: Use BLUE or BLACK Ink AIIIIIIIIIIIIIII& For Office Use Permit City of Evan i Permit Fee: 3830 Pilot Knob Road p~ Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION eJeM56V1 ~ Date: Site Address: ' Unit Name: ( I,1 AMA Phone: A Resiclerltl Owner Address / City / Zip: a bo Ire _ Applicant is: Owner Contractor r Description of work: S s -1 A 1'e Ac ype, of Work; ~--r a 7 r Construction L8 ek e., ,iRs Company: +1 Contact: S Address: city: Contractor ~ State: Zip:- Phone: 3G.~i - ea Cerli Ica e 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 _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE:~Plar s and sup"po hg docun'Bents ~that'you subni,t, con; Bred t6l&',public reformat, P xrti ns of'T^. the information-may be classified as non-public'if you provide specific cyeasons that-would permlt~the Crfy to _ C9,0qude_that.4he are:tr de secrefs: 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. MW,,gogherstQteonecall org 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 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 to B ll must be completed within 180 days of permits Issuance, Applicant's Printed Name App ant's Signature Page 1 of 3 d1.44114- fottit, ,geip PzeZe../ 2 14 ge4„,-ze- s-w z“ --z40 et‘ee, --et-prt4 f 4.3;elv,e 8 el -0-()) fev-- u -L 0.e,c7A. BUILDING INSPEC E AN CJ Ir/g dA 60 14 -7? 4e( ,e-c;g s1i%1-€--n7 etZte,2 (7-)7 ,& 6A. • Y__..t,/.„/- IC/apNt eAr- O� ;,1 i: . 0 t1457O CI) 2" ° ATTIC ACCESS REQ'D. _ 6t -A_:_ _VAPOR _ _. INSTALLED ON - ALt WARS -AN RR-IER MUST BE i. HE WARM SIDE OF ATTIC CEILING rike4 0„ vs L t NADA s_..._,__.))/14-4 /51=- ThteSA1r11 XX��(i pp( XiFl(VC' D' trN"�� v1F © pro u, „ £rti y X S/ oar136 ; o yam, ,v+s 3 ‘1./ /1/4 0 F7 EA 4 • y,, WAt..K!Nr1 SURFA E_ .-.'L S MIu �. _. AND DE A 4" DIAMETER BASS TM„- REATER TN$M 011 ,E DG c y -LEVELS ROOMS. ORS IN HALL4A1 . LA[ SMOKE Yy. • Fk v cy. A -c -ret (.5 v 11PI,e? .VP'61/ ve, )Av ).fr ro ° vvoottet111' --- 9 F, 1_1_1^ J c./4. 1) iv 5 F A A fv, 5/4 pito K war rAcE6 j (VT Rif' il)/A113 fLA Artfrc 41(1' hit'!" °P4k, Y r 17:01,11e -l) JtA, Ckt k AT ,*()A, s7AR). /we_ )1-) - • .•• 14) A - NS UV Al I avy .0.457 _ X ir 0-21.17l1cut41hr4, FAC' reter:ep '',410-4-0. /9/4-ely2/E 1 5-rfii c h B07 h Sv)25 171-5TE/Y. /.) 1-4)-/seRa,,,s' I ' f.:11_,)/a y DP. kv-A14 Cip RE t, /Atli) 11111111MAINA, 12750D151,/wro=t7 ,g- 3 , .r