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2222 White Water Way a ► as I (2► aoZ l ~ ~ Use BLUE or BLACK Ink 2~2D ~~2~ lJl~ 1n~ UJ' W I I For Office Use , c, I Permit ~n_Y City of En I Permit Fee: ~O 7 3830 Pilot Knob Road I I I Eagan MN 55122 I G I ~ Date Received: Phone: (651) 675-5675 I I '?j Fax: (651) 675-5694 staff: _ I L-----------------I 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: 13 Site Address: I 1 . tt b) Tenant Name: (Tenant is: New / Existing) Suite Former Tenant: I Name: Phone: Property Owner Address / City / Zip: Applicant is Owner Contractor 41 Description of work: Type of Work Construction Cost:. Name: License Contractor Address: City: State: Zip. Phone: R, Contact: v_Email: I - Name: Registration Address: City: Architect/Engineer State: Zip: Phone: Contact Person: Email Licensed plumber installing new sewer/water service: Phone Portions of i NOTE: Mans and supporting documents that you submit are considered to be public information. 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 o work which requireseview and approval of plans. E - x_ _ a XI Applicant°s Printed Name Ap ant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA157902 Date Issued:09/16/2019 Permit Category:ePermit Site Address: 2222 White Water Way Lot:606 Block: 04 Addition: Eagan Heights Townhomes 2nd PID:10-22426-04-606 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 - Ryan Borelo 2222 White Water Way Eagan MN 55122 (830) 513-8571 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature