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2197 Rocky Rapids Way Use BLUE or LACK lark r For Office Use - 131an~ City EaRan Permit I PermitFee• . ~~•5 3830 Pilot Knob Road I d i/ Eagan MN 55122 / I I Phone: (651) 675-5675 I Date Receiv~ed: 91J' I Fax: (651) 675-5694 I E i I Staff: I L----------------- I 2013 COMMERCIAL BUILDING IT APPLICATION Date: tt Site Address: 1 _ Tenant Name: &(enant is: New / Existing) Suite Former "tenant: Name: Phone: Property Owner Address /City /Zip: Applicant is: Owner Contractor Type O~ 1'k Description of work: Zile, Construction Cost, - - - "L Jr Name: g_ License Address: Contractor - -----=City: State: Zip: ; Phone: Contact: Email Nllame: Registration Architect/Engineer Address: City: State: Zip: Phone: Contact Person: Email Licensed plumber installing new sewer/water service: Phone NOTE: Plans and supporting documents that you submit are considered to be public information. Fortion.: or 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.gopherstateonecail.orq 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 eview and approval of plans. xr Applicant's Printed Name Ap cant's Si nature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA168812 Date Issued:05/05/2021 Permit Category:ePermit Site Address: 2197 Rocky Rapids Way Lot:905 Block: 03 Addition: Eagan Heights Townhomes 2nd PID:10-22426-03-905 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Garin Bergman 2197 Rocky Rapids Way Eagan MN 55122--193 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature