2124 Water Lilly Lane
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City of Eayn
( Permit Fee: (v39 •a5
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3630 Pilot Knob Road I I 01
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Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 1
Fax: (651) 675-5694 I Staff: I 2
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BUILDING 2013 COMMERCIAL PERMIT APPLICATION
Date: Site Address: A u C f I t t
Tenant Name: g t ant is: New / Existing) Suite
Former Tenant:
Name: Phone:
Property Owner Address /City /Zip:
Applicant is: Owner Contractor
Type of Work Description of work:
r l~~<
Construction Cost: <
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Name: License
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Contractor Address - City: -
State: Zip: Phone:
Contact: Email: - i° P-
Name: Registration
rchitectlEngineer Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone
NOTE. Plans and supporting documents That you subma 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.
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.gopherstateonecall.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 requires a jeview and approval of plans.
Applicant's Printed Name Ap`Dlidant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA137698
Date Issued:07/18/2016
Permit Category:ePermit
Site Address: 2124 Water Lilly Lane
Lot:205 Block: 03 Addition: Eagan Heights Townhomes 1st
PID:10-22425-03-205
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Julie Dunn
2124 Water Lilly Lane
Eagan MN 55122
(651) 263-0488
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature