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1970 Ruby Ct N 1°I toy t l ci (e (a , late tcrl0 Rwloi~ CA N la3 A k t,51 A ► ~)"j t 41 Rq g Ili' 1S~NW Use BLUE or BLACK Ink I For Office Use n r~ ~ 115gsS I City of EaK an Permit I F ~ 4~ I 3830 Pilot Knob Road Permit Fee: i 1 Eagan MN 55122 1 Phone: (651) 675-5675 1 Date Received: Ind k 1113, ~ Fax: (651) 675-5694 1 Staff: n^f) i-----------------1 2013 COMMERCIAL BUILDING PERMIT APPLICATION (1o Abel I°Il~il ~ Date: C~1 12-7/ t3 Site Address: G~(OJ' 4 _ ~1Z31~rzS~ y►zilyl~g ~J~ t~4~O~{ G`_ V Tenant Name: Q~ F~th (QMft5 komtajenant is: New / X, Existing) Suite Former Tenant: Q Name:D 4.0m\oAs a, SAW-1 OtAl %!?Kr n I,MS Phone: 4 3;L- 81 7 9 Property Owner Address/ City /zip: RD Do)( 5 C1C3eh0Jv4 MAI 5'S b$ Applicant is: Owner Contractor Type of Work Description of work ► Cc~t' d ic~ - Coy~ GK C1„nit 5 a . ~h Ct C- ~y Construction Cost: 5 S 1 b 3 3 1 Name: O " C ov\.~ (-%xC -i a License lJ 22,11-1:L Address: IL L IL C `ojv\dt omic - City: I05L MOJvl T' i Contractor 4 State: Zip: T50(69 Phone: GPI " 2 1(.5 Contact: Email: ~Lut ~d ~e~~tC~ 0~5. Ca•o~'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.goi)herstateonecall.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 LI~, I x IJ~a I o L Applicant's Printed N We Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169207 Date Issued:05/18/2021 Permit Category:ePermit Site Address: 1970 Ruby Ct N Lot:081 Block: 04 Addition: Diffley Commons 2nd PID:10-20451-04-081 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Pamela K Martin 1970 Ruby Ct N Eagan MN 55122 (507) 591-8089 K & S Heating, A/c & Plumbing Llc 4205 West Hwy 14 Rochester MN 55901 (507) 282-4328 Applicant/Permitee: Signature Issued By: Signature