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511 Classic Ct Unit B107 Use_BLUE _or BLACK Ink For Office Use I I I City of Eap I Permit I I I I - 3830 Pilot Knob Road Permit Fee: I?.~~~ I Eagan MN 55122 I I Phone: (657) 675-5675 I Date Received: f' (3 I I Fax: (651) 675-5694 ~ I ~ Staff: _ I d 2013 J MECHANICAL PERMIT APPLICATION ❑ Please su it two-(2) sets of plans with all commercial applications. AL--w it5&-Ag Date: e5 i1e lSite Address: -AY -Y a Tenant: Suite C7 Resident/Owner Name: Phone: Address / City / Zip: Name:A/EE7;;L) 2rG-7 License &ZC-- Contractor Address: ~l State: /V/l Ziip:Phone: ~Vl c l cp Contact: "a New Replacement Additional Alteration Demolition Type of Work Description of work: )AC 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 L- New Construction - Interior Improvement Per Air Conditioner Install Piping Processed rmit Type - - - Air Exchanger _ Gas - Exterior HVAC Unit Heat Pump Under / Above ground Tank Install Remove) Other RESIDENTIAL FEES: 1 $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: VV eig $70.00 Underground tank installationtremoval Contract Value $ s5co x 1 % $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.gogherstateonecall.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 not to start without a permit; that the work will be in accordance with the a proved plan in the case of work which requires a review and approval of plans. x~ x Applicant's Printed Name Applicant ignatur FOR OFFICE USE Required Inspections Reviewed By. Datei UndergroundRough In ` Air Test Gas Service Test,; In-floor Heat Final HVAC Screening