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2236 Water Lilly Lane X30 ;Q-3, a, as 3~ Use BLUE or BLACK Ink 8 as 4o wow t---------------- f I For Office Use Permit City of EaV Permit Fee: i • J I I 3830 Pilot Knob Road I Cj Eagan MN 55122 I Date Received: a Phone: (651) 675-5675 I I I Fax: (651) 675-5694 j Staff: I 1-----------------I 2013 COMMERCIAL BUILDING PERMIT APPLICATION J ' f V Date: Site Address: 11~Xnl Tenant Name: (Tenant is: New / Existing) Suite Former Tenant: C Phone: Name: Property Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: i i Construction Cost: I 4 Names' C> - License Address: City: = . _Contractor State: j. r, - Zip - Phone: 'la-61 V~60 e/ _ P Contact L E m ail: s Name: Registration Address: City: Architect/Engineer a 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. 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. 4 .w,.. 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.qopherstateonecall.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 re uires a view and approval of plans. X. t x Applicant's Printed Name Ap ant's Si nature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA179254 Date Issued:09/26/2022 Permit Category:ePermit Site Address: 2236 Water Lilly Lane Lot:503 Block: 02 Addition: Eagan Heights Townhomes 1st PID:10-22425-02-503 Use: Description: Sub Type:Furnace & Air Conditioner Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Melissa A Grosso 2236 Water Lily Ln Eagan MN 55122 (651) 253-0589 Bws Plumbing Heating & A/c 7251 Washington Ave S Minneapolis MN 55439 (952) 681-2615 Applicant/Permitee: Signature Issued By: Signature