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1250 Dunberry Lane - Unit A CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Cogan, MN 55122 DATE: Zoning: _ -_ _ _ -__ — ___ No. of Units: Owner: Address: Site Address: Plumber: _ Meter No.: Connection Charge: Size: — Account Deposit: — Reader No.: —_ _ Permit Fee: agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: — Total: By Date Paid: r b Date of Insp.: Insp.: CITY 6F 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 City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By — Misc. Charges: _ Date of Insp.: Total: Insp.: Date Paid: 4 i y { 01 . f :; I f PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175661 Date Issued:04/11/2022 Permit Category:ePermit Site Address: 1250 Dunberry Lane A Lot:012 Block: 01 Addition: Ches Mar 5th PID:10-17104-01-012 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Rochelle Nicole Lachapelle 1250 Dunberry Ln Unit A Eagan MN 55123 Tony's Appliance Inc. 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature