3265 Dodd Lane VILLAGE OF EAGAN WATER SERVICE PERMIT
3795 Pilot, Knob Rood 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:
I agree to comply with the Village of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
B y Date Paid:
Date of Insp.: Insp.:
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road
Eagan; MN 55122 PERMIT NO.:
Zoning:
DATE:
Owner:
No. of Units:
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:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA130579
Date Issued:05/01/2015
Permit Category:ePermit
Site Address: 3265 Dodd Lane
Lot:8 Block: 1 Addition: Selmark
PID:10-67100-10-265
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Gary S Ost
3265 Dodd Lane
Eagan MN 55121
(612) 636-0062
Benjamin Franklin Plumbing
5720 International Parkway
New Hope MN 55428
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature