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3563 Blue Jay Way Unit 206PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA107525 Date Issued:10/16/2012 Permit Category:ePermit Site Address: 3563 Blue Jay Way 206 Lot:207 Block: 04 Addition: Lexington Place 2nd PID:10-45051-04-207 Use: Description: Sub Type:e - Water Heater Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Josh McGuire 1424 3rd St N Minneapolis, MN 55411 612-604-4285 Valuation: 1,500.00 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 - Jill L Johnson 3563 Blue Jay Way Unit 206 Eagan MN 55123--226 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature gyp. ~v~ 35~~32= Use BLUE or BLACK Ink For Office Use I I City of Eapn I Permit 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 I I Phone: (651) 675-5675 1 Date Received: Fax: (651) 675-5694 Staff: I T 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 13 Sit Address: ! ~V Tenant: so Suite Resident/Owner Name: so VA Phone: if Address / City / Zip: 3C ✓U k:Y-- Name: On y o('.(l License U-1.- 26S-4 Contractor Address: 19 p-vm i I I lar coy City: 46('*1' nn 151 State: ~J,4 Zip: Phone: (0,51- 4"31- 9 2.. ah X 2,2 Contact: Email: YL(.U►~~}~c l`. o16''oLwoL.iY. CO1 New Replacement Additional Alteration Demolition Type of Work Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL _ Furnace _ New Construction _ Interior Improvement Permit Type Air Conditioner _ Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit Heat Pump Under/ Above ground Tank L_ Install Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) Permit Fee *If the project valuation is over $1 million, please call for Surcharge 5.00 Surcharge* TOTAL FEE 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.ciooherstateonecall.orci 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 start without a permit; that the work will be in accordance with the approved plank in the case of work which requires a review and approval of plans. x K-L tr vl 1 in ~ ~ t C pot ►yS c*-) x ' N Applicant's P nted Name Applicant's ig ature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening