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1900 Sapphire PtPERMIT City of Eagan Permit Type:Plumbing Permit Number:EA108673 Date Issued:12/31/2012 Permit Category:ePermit Site Address: 1900 Sapphire Pt Lot:111 Block: 04 Addition: Diffley Commons 2nd PID:10-20451-04-111 Use: Description: Sub Type:e - Water Softener Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Jolene Mehle 17484 Goodland Path lakeville, MN 55044 952-953-4643 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 - Jennifer M DeYoung 1900 Sapphire Pt Eagan MN 55122 Dakota Water Treatment 17484 Goodland Path Lakeville MN 55044 (952) 953-4643 Applicant/Permitee: Signature Issued By: Signature 1$0ta; 'kj()0,i tgo2, Iq©AA IV) U(p / Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - Otto) V'//~ ~f~'~~ k(~ I For Office Use 1151bd City of E, Permit , I I Permit Fee: s I 3830 Pilot Knob Road Eagan MN 55122 I I Phone: (651) 675-5675 i Date Received: Fax: (651) 675-5694 j Staff: j t----------------- I 11 2013 COMMERCIAL BUILDINP PERMIT APPLICATION - S u,Y)i+5 940 lgvz i9/ v C~ Date: 1 177/ 11> Site Address:... ~ ' -1,7 Lf/Qz/jZ Z sq.1~~,i Tenant Name: D;gky' CcMftS ~i.~~GS ~ (~wraNl kor*f4(Tenant is: New / X~ Existing) Suite Former Tenant: Q Name:D C.oe~he.►S et V►IkaS AV\A a1 r L,n w~.5 Phone: l *A 4 3 a" 8`j 7 9 Property Owner Address / City / Zi P. ok S f\03e- hoJv% p~ - ~ A Aj 5 J` -U b8 Applicant is: Owner Contractor Type of Work Description of work Ga,C' d ~ - (~©y~ Gti 1'1„n.~ 5 . ^!h Construction Cost: q f 2 14 • 3 Name: O ~ ~.pv~ } C'.~c~-I o License ~ L .CoZ t o1 Address: L01 kOJAAt l y►%l~ City: IOSL I"~yJv~ Contractor MM k) Zip: ';5_0(612 Phone:G 9 Contact: L&J t + Email: Lcvl Hv ve),V cc at CIOn Name: Registration Architect/Engineer Address: City: State: Zip: Phone: Contact Person: Email: I Licensed plumber installing new sewer/water service: Phone 11 NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that theY are trade secrets. . . . , 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.gopherstateonecall.org 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 plan in the case of work which requires a review and approval of plans. x L~ I p x ~6L Applicant's Printed N e Applicant's Signature Page 1 of 3