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1252A Dunberry Lane CITY OF EAGAN WATER SERVICE PERMIT 1795 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: agree to comply with the City of Eagan Surcharge: — — — Ordinances. Misc. Charges: - Total: By / Date Paid: Date of Insp.: - -Gb- =/ 8 '- --f 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 Ins p.: - - -- — Total: Insp.: Date Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA123080 Date Issued:05/28/2014 Permit Category:ePermit Site Address: 1252 Dunberry Lane A Lot:021 Block: 01 Addition: Ches Mar 5th PID:10-17104-01-021 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Tammy Donner Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Adhanom B Tesfe 1252 Dunberry Lane A Eagan MN 55123 Ashco Exteriors Inc 11164 Zealand Ave N Champlin MN 55316 (763) 225-8333 Applicant/Permitee: Signature Issued By: Signature