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1947 Ruby Ct N
VAS tOt, ja i, tq3~ ` I~►3~I Use BLUE or BLACK Ink ~ °l h 1 °l 43 10146 t0(4 -7 19~1 1 I , I For Office Use City of Eajan R, Permit el I Permit Fee: 1 •~b 3830 Pilot Knob Road I Eagan MN 55122 I I Phone: (651) 675-5675 i Date Received: Fax: (651) 675-5694 Staff: la - u~ ~t5 -----------------I 1 2013 COMMERCIAL BUILDING PERMIT APPLICATION W Date: o1 77 13 Site Address: Z fQ I43 ! 3 <S < Tenant Name: ~✓~~~r~t'1 comftS ek %i \\&S 0-4 (PQt-\ kov%%(Tenant is: New / 1 Existing) Suite M Former Tenant: Q r Name: Q► Cor~howS X \(M*,S ok^A yacc~4.%~wmS Phone: lJo~- 4-3;L- 89 79 Property Owner Address / City / Zip: P. C2 D&X S N>3C.hnJv~t Au 5-5-0 b$ Applicant is: Owner Contractor Type of Work Description of workGAC- d - (\ot~~ GK C1ar~r S a ~h Ct ' 1 Construction Cost: too 10. Name: O_N c.ov,s~c_.,A oti License \J Contractor Address: ~L~2L C`ojv\dtc- awL, City: OSLP'~~~vt~- State: M k 1 Zip: '75'C(612 Phone: _ ~T• ( 'es' I - ~z 1 •Z ' 9 ti06 Contact: Le,4• Email: LG✓! 0~ 04 . Lon s Name: Registration a Architect/Engineer Address: City: i 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 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 o V 4 (A-~ 0" x Q! Applicant's Printed N We Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA144652 Date Issued:08/03/2017 Permit Category:ePermit Site Address: 1947 Ruby Ct N Lot:022 Block: 04 Addition: Diffley Commons 2nd PID:10-20451-04-022 Use: Description: Sub Type:Residential Work Type:Replace Description: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 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jonathan Muller 1947 Ruby Ct N Eagan MN 55122 (605) 660-1247 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink • .CIV For Office Use 4 ‘' Cr LOMC �y of Eagan DEC 13 2Q17 Permit#: / Permit Fee: e0 . 3830 Pilot Knob Road Eagan MN 55122 Date Received: /.2'/3'j 7 Phone: (651) 675-5675 Fax: (651 . - •94 Staff: L 7 J 2017 : ' SIDENTIAL PLUMBING PERMIT APPLICATION 0_ `jam Date: 17 Site Address: R4,---t_ p T fi)A).55/(D...,z Tenant: Oki\A— 11+ ' i„�r[�rt�-, Sults#: ky- ;g. , at{,i4.r© z,it r. Name: 4dL phonejo&T (elf/0 IM-'7_. "i �� "�`�1 ��t� /) SSD ( „,,,-,,,,m4,:, Address/City/Zip: Jo p //M) S7 Io 2. Ff r rj ` ,44,4'3 . Name: Y (1 1��1�f�'V� ► i LicenseW l� V1��(r/l\/ // #: L ;1,40,-4. .0g:0441-d. ,4 Address: \ `)V, �v / itr�,a0 ,o.F ,`` �� �P/ Cityll��!`�1 l0�( 44,r .i ..t, dt . : 4( .,0„ r2 , State: Y 1 1 V V Zip: .,, �� Phone: l '` �� 1-- --- .-q ,.. fy M(�vit 0Ii i�k.t I I �/(� M \O-e-A�-tet r ti 1.'' �o I / �/}�� 0.11\--? 1.;i£�4:At. ::i!t�> ;'+ Contact:`�,/�. \. ' 1�' Email: (�I V t�, L%�J Q l�l�l �."..tW-I'K� Ili' Al 4, Ye@<� , ar tr r —New —Replacement —Repair Rebuild Modify Space Work In R.O.W. tat ` ` €{�r ,'t's r ,lr•,-�'R't`?t/€`i +=rtE,;fi-, Description of work: Iy -'i I met, ''t`5 'RESIDENTIAL ;j:f n^ t ',.1 t,$ . _Water Heater t � t. , +k� , :VIP'°, t • ' 4, :i _Water Softener ,, 1, . t v+ s,?. _Lawn Irrigation(—RPZ/—PVB) tt, v 4 y Ai,4 7;Yi�- d . Septic System ._Add Plumbing Fixtures ( Main/ Lower Level) •�' i} r � 't w /90 t>y Water Turnaround tri rilif� f1r'f , Newi_k111;74w, ata- ,,t ,"s' h,,tit:bg iSif ”- s4'4t.f±F Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60,00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(Includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4"meter Is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 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 �ap`prroved Ian in the c 4 of work.w ich requires a review and approval. plans. 1( . x I Applicant's Printed Name Applicant's Signature - y�ly{F"1'r-tK�U'�` `}}tli�r 4�, S �1'�{{1tF;a. ;�^G�1'� _�{�r..a ;Y�, s 5,{ Y..ir� h s y t�...a,,`1.�-. S r.?r�,µ3' 4r. .,'+'{tE ,�1s )I tr {1 i i, O )� { �Y� t}{ tr �,}rk4 J 7iC�V�.z t?.� al I 1\.'ft^.�}t' -,5.. 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