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2200 Water Lilly Lane Use BLUE or BLACK Ink r 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 x,t x~~ m 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