2200 Water Lilly Lane
Use BLUE or BLACK Ink
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For Office Use
Permit 113 to9LA Y Cat of EaRan
Cp50 . Sa
I Permit Fee:
3830 Pilot Knob Road I ~
Eagan MN 55122
I Date Received: -IJ 3 I
Phone: (651) 675-5675 I I ~9.
Fax: (651) 675-5694 j Staff: l5_ C> I
L-----------------I
2013 131"ILDING PERMIT APPLICATION
Date."
Site Address:
Tenant Name: T errant is: New / Existing) Suite
Former Tenant:
Name: Phone:
Property Owner Address / City / Zip:
Applicant is: Owner Contractor
Type Work Description of work. - -
r
Construction Cost
v
Name: License
Address: City:
State: Zip: Phone:
Contact: Email:
Name: Registration
Ar hitect6E gi eer 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 he public information. Portions o®
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude Jiat then 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.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 wok which requires aveview and approval of plans.
U
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Applicant's Printed Name Afsp,rant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA174033
Date Issued:12/20/2021
Permit Category:ePermit
Site Address: 2200 Water Lilly Lane
Lot:707 Block: 02 Addition: Eagan Heights Townhomes 1st
PID:10-22425-02-707
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Laura L Grimes
2200 Water Lilly Ln
Eagan MN 55122--193
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature