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2232 White Water Way a.a.Aj t ?a 30 , Use 8-LUE oi- BLACK Ink I For Office Use r W WtC/1 W I J oZ Permit I _ ~ r 7~J 1 City of Eap I 3830 Pilot Knob Road Permit Fee: I 776 (o 5L- 1 ~ Eagan MN 55122 ' Phone: (651) 675-5675 1 Date Received: C1 I V/ Pax: (651) 675-5694 j Staff: 5(12;1 I aZ t-----------------I - 2013 COMMERCIAL BUILDING IT APPLICATION Date: Site Address: Z23 Z_ i Tenant game: (Tenant is: New / Existing) Suite Former Tenant: Name: Phone: Property Owner Address / City / Zip: Applicant is: Owner Contractor Description of work: i Type of Work - ` Construction Cost: 7 -V Name: _ License Address City:= CO State: Phone: Contact: _ Email Name: Registration Architect/Engineer Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone NOTE: plans and supporting documents that yore suhrrait are considered to be public inforâ–ºrration, portions of the information may he 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,review and approval of plans. 01 Applicant's Printed Name App ant's Sig-iiature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159634 Date Issued:01/06/2020 Permit Category:ePermit Site Address: 2232 White Water Way Lot:705 Block: 04 Addition: Eagan Heights Townhomes 2nd PID:10-22426-04-705 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Andrew T Klein 6025 Eureka Rd Excelsior MN 55331 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature