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4539 Hay Lake Rd S WATER SERVICE PERMIT F EAGAN T NO.: 37' • .tAnob Rood DATE: Ec,gan, MN 55122 _ AT. Units: ZoDing: Owner: Address: Site Address: Plumber: Connection Charge: Meter No.: -- Account Deposit: - - - - -- Size: permit Fee: Reader No.: Surcharge: I agree to comply with the City of Eagan Misc. Charges: Ordinances. Total: By #4 I _ Dote Paid: / - -- . — Le Insp.: Date of Insp.: IF EAGAN SEWER SERVICE PERMIT . fhot Knob Road Eason, MN 55122 PERMIT NO.: DATE: Zonin 9 :' Owner: No. of • Units: Address: — Site Address: Plumber: agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: By Surcharge D Misc. Charges: Date of Ins p.: I nsp.: Total: Date Paid PERMIT City of Eagan Permit Type:Building Permit Number:EA121368 Date Issued:03/27/2014 Permit Category:ePermit Site Address: 4539 Hay Lake Rd S Lot:031 Block: 02 Addition: Overhill Farm 1st PID:10-56150-02-031 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 . Gary Robideau 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 - John R Foster 625 2nd Ave W Kalispell MT 59901 Professional Exteriors Inc. 3158 Viking Blvd NE Wyoming MN 55092 (763) 434-1500 Applicant/Permitee: Signature Issued By: Signature