1951 Ruby Ct N
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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:
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2013 COMMERCIAL BUILDING PERMIT APPLICATION
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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:
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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
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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
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Architect/Engineer Address: City:
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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.
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Applicant's Printed N We Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA130623
Date Issued:05/05/2015
Permit Category:ePermit
Site Address: 1951 Ruby Ct N
Lot:024 Block: 04 Addition: Diffley Commons 2nd
PID:10-20451-04-024
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Jose R Rivera
1951 Ruby Ct N
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
