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1961 Ruby Ct N ~otr~3, l°t 55, t`~~~ I°lS°I~ t q , tq ~3 Use BLUE or BLACK Ink 1~5 Mal, t°171 101 ~3, I0 I For Office Use l flQ r Ct N Permit I I City of Eq, I Permit Fee: 1 3830 Pilot Knob Road I 1 Eagan MN 55122 Phone: (651) 675-5675 i Date Received: Fax: (651) 675-5694 j Staff:? j L----------------- I 2013 COMMERCIAL BUILDING PERMIT APP ICA IT - !3~ gP, c Date: 1 1;L7 I3 Site Address: I~~3 S~~rtS~~~~sU \a~~~~~b ~`~4 t ~1 Ilg~g~ tg-►~1q-► ~tQ~S" J Tenant Name: ko t*Tenant is: New / Existing) Suite Former Tenant: Q Name: A~N -OC1t'10.►5 X Vktkos ok^l aVxc4, 4wr~tS Phone: 15aA- 4 3 a- 81 7 9 Property Owner c p Address/ City /Zip: P.b e7x J rio3e- hcwv% M AJ 5-5-0 b$ Applicant is: Owner _ Contractor Description of work I ,C- d ~c - ~,OC)T an C S C- Type of Work Construction Cost: 5_7 V%L. t k v Name: D ~ C.0v\.5~('\JrAi d License AJ 1 t o1 Contractor Address: [Lw_ r `OJAA-e lc- a%lL City: 11 lOrjL f"~n~h State: Mk) Zip: '75'0(Q Phone: J1r ;Z Ix `f 1 (10 Jr Contact: Email ~G~I k-Id + e~-tC o'r`J . G o1~1 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 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 T x Applicant's Printed N e Applicant's Signature Page 1 of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