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1919 Ruby Ct N M015, All 01, t°l o 9 l 1111,10113 ,111 Ir 1 q III I &I « 1q a I I IO~a3 1Cr 1 IDIa.-~ -Use BLUE or BLACK Ink t 1 ( r I For Office Use Permit City of Eaoa~ t~ I Permit Fee: :74 (D - -167 3830 Pilot Knob Road I Eagan MN 55122 I I Phone: (651) 675-5675 i Date Received: j Fax: (651) 675-5694 Staff: 75 Y~ I L-----------------I 3 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: 1 d~7 ~3 Site Address: wv\ Tenant Name: Qilak ~ comow., 0,4 ~ar~c4 kor ofajenant is: New /X Existing) Suite Former Tenant: . _ g5a- 79 _ Name:D j~,n -otltlohS :L VffiaS ^4 dlaCdsn S Phone: y 3a• 89 Property Owner Address / City / Zip: P.(ZtJd~C S 1103eho.wv~ SSO b$ i Applicant is: Owner Contractor Description of work ' Get' d~ - Coo ~K C\.r~r 5 a . ~h Ct C` Type of Work Construction Cost: 5~1 158(. • O 3 Name: O T cov-. (-%X~4 o License \J .C2 l t o1 Contractor Address: ~1e~p.C1e L `oJ►rta{~ y~yL City: \05L~yJKA- State: M 1 Zip: 575_0(69 Phone: -`I~c J~~ ' 21 ;L ` 9 ~S z ( Contact: h{fJ Email: LGJt kv VekVtC, o~`J. Gol'1 Name: Registration ArchitectfEngineer Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone I 11 11 11 11 NOTE: Plans and supporting documents that you submit 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 review and approval of plans. x L,,~ I kk o V x 44= Applicant's Printed N e Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147906 Date Issued:02/16/2018 Permit Category:ePermit Site Address: 1919 Ruby Ct N Lot:044 Block: 04 Addition: Diffley Commons 2nd PID:10-20451-04-044 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Lori M Courneya Hocum 1919 Ruby Ct N Eagan MN 55122 Centraire Heating & Air Conditioning 7402 Washington Ave Eden Prairie MN 55344 (952) 941-1044 Applicant/Permitee: Signature Issued By: Signature