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511 Classic Ct Unit B102 ___Use_B_L_UE or BLACK Ink For Office Use j 40~ - City of Eapn Permit I 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 l (t~ Phone: (651) 675-5675 1 Date Received: Fax: (651) 676-5694 I I ~ Staff: ~ 2013 MECHANICAL PERMIT APPLICATION ❑ Pleasesu it two-(2) sets of plans with all commercial applications. F1 S-) , /Eh 6&7e r` mid/ Date: ~ G '1 /Site Address: Tenant: Suite Z Resident/Owner Name: Phone: Address / City / Zip: Name:,4t/ES-J Z7C~ C License I~ Cam! f~d<7~'_ j_/zv Contractor Address: State: .~i Zilp: Phone: CP l Contact: IY1~,?mai1: ew Replacement Additional Alteration Demolition Type'ofWork Description of work: la r~CGo~i1~~~~r✓~ j 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 Construction _ Interior Improvement Perm it Type -Air Conditioner _ Install Piping _ Processed - Air Exchanger _ Gas _ Exterior HVAC Unit - Heat Pump _ Under / Above ground Tank Install Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) I' $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES: V~K e $70.00 Underground tank installation/removal Contract Value $ $55.00 Minimum 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.oooherstateonecall.ora 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 of to start without a permit; that the work a in accordance with the approved plan in the cas work which requires a review and approval of plans. x x Appl cant's Printed Name App icant's Sig re FOR OFFICE USE Required in" spections Reviewed By:Dater t Underground -Rough In',: _ Air Test Gas Service Test -floor Heat _ Final HVAC Screening`