3250 Dodd LaneVILLAGE 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•
I agree to comply with the Village of Eogan Surcharge•
Ordinances. Misc. Charges•
Total:
By Date Paid•
Date of Insp.: Insp. •
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO •
Eagdn, 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•
'41"
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
FES 5.2016
Use BLUE or BLACK Ink
For Office Use
Permit #: 49‘67
Permit Fee: C 670
Date Received:
Staff:
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 2/2/2016
Contractor
Type of Work
Permit Type
Site Address: 3250 Dodd Lane
Name: Autumn Ness
Phone: 763-258-9390
Address / City / Zip: 3250 Dodd Lane, Eagan MN 55121
Name: Metro Heating & Cooling License #: PM058051
Address: 255 Roselawn Avenue East #41City. Maplewood
State: MN Zip: 55117
Contact: Micah
Phone: 651-294-7798
Email: micah@metroheating.net
_ New 1 Replacement Repair _ Rebuild Modify Space _ Work in R.O.W.
Description of work: Replace existing water heater
RESIDENTIAL
1 Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Tumaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures Septic System Abandonment, Water Turnaround* (includes State Surcharge)
*Water Tumaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $ 60.00
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.popherstateonecall.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 I understand this is not a permit, but only an application for a permit, and work is not to sta 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.
x Micah Vail
Applicant's Printed Name
/JJJd/
A • p i ant's Signature
FOR OFFICE USE
Required Inspections:
eter Related Items: Meter Size Radio Read
Date:
Under Ground Rough -In Air Test Gas Test Final
Manometer