2238 Water Lilly Lane
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Permit City of EaV Permit Fee: i •
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3830 Pilot Knob Road I Cj
Eagan MN 55122 I Date Received: a
Phone: (651) 675-5675 I I
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Fax: (651) 675-5694 j Staff: I
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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/
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Contact L E m ail:
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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.
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Applicant's Printed Name Ap ant's Si nature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA171913
Date Issued:09/07/2021
Permit Category:ePermit
Site Address: 2238 Water Lilly Lane
Lot:502 Block: 02 Addition: Eagan Heights Townhomes 1st
PID:10-22425-02-502
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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:
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 -
Kaitlyn Orzechowski
2238 Water Lilly Ln
Eagan MN 55122
(612) 202-8769
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature