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1608 Clemson Dr - Unit B CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot K _lob Road P.O.!3ox 21199 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: Ordinances Misc. Charges: Total: By Date Paid: Date of Insp.: 0 21 ,-7 Insp.: • • CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot „,Cnob Road P. Q. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: 1 ogres to oomph, with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.• Total: Insp.: Date Paid: f ( . ._, , 1 / 45 13 .,........C. , j _______ L , T ;P / / ( 6 _ :_ y , e , ) Use BLUE or BLACK Ink a For Office Use I r `~-)~j I Permit l I Clay of Ealu I 0~ Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: 13 Phone: (651) 675-5675 1 I : I Fax: (651) 675-5694 1 Staff L- 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1L6 Site Address: f ~~ll) f~ ~Q~ 1~ ~ ~GYnSanr nc. Unit Name: L RO t f s G f 7h a M c L... r~ ke /~djg Phone:6/: Z~/ 7 7 S / Resident/ Owner Address/ City/Zip: 14117 & Me3i Met 13 Applicant is: Owner 9 Contractor Type of Work a Description of work: Ae rye dspkt II I< nc fee& f ieces _1 -a-So ~ Dllulti=Fa deiin Yes if -tNo Construction Cost;, o 0. Ue,,V Ir Company: ~ A, Contact: N `~'wl1 ,Lc, ( Address: ~1.3q~ Kay Cit. cte e. Contractor i city. Stater Zip:,' Phone:-7~ lzv~mrrse mad Certi icate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Vi V y 1 S 1 1) 1 nc- M to ( 50 6C"= f tL FA s -r o - Alo Pri t ty t" 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: Plans and supporting documents that-you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the -City to i conclude that they 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. www.aol)herstateonecall.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 State Building Code must be completed within 180 days of permit issuance. x Tae 7t>Q_0~"es x Applicant's Printed Name Ap c nt's Signature Page 1 of 3 ,j. PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143840 Date Issued:06/28/2017 Permit Category:ePermit Site Address: 1608 Clemson Dr B Lot:2 Block: 01 Addition: The Trails Of Thomas Lake PID:10-75865-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Julie A Mueller 1608 Clemson Dr Unit B Eagan MN 55122--481 (952) 201-7245 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature