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1892 Sapphire Pt BONA, ~5-7(QI leb I b 1 1$~0(1e82, 108 4 t a~~ t `~S~ i 18G~p1 , $G~2 I ' $G~Gt.~ '$~(0 Use BLUE or BLACK Ink U r - - - - - - - - - - - - - - - - i w, ee I For Office Use Permit City of Ea oa~ u b I Permit Fee: l~~ J 3830 Pilot Knob Road I Eagan MN 55122 I I Date Received: to Phone: (651) 675-5675 Fax: (651) 675-5694 j Staff: I ~S t-----------------I 2013 COMMERCIAL BUILDING PERMIT APPLIQATION I2- ' C~ 18X 5781/SSd/IE8_St/ 5gPPh1,-e Ft Date: 1 27 Site Address:7?/ f3g., //f?g"I /IfQD/189Z~11~,~/8Y6 Tenant Name: Q~~rOkt!1 CoMft-S ~.i►\~S $-%I Var~c4 komlajenant is: New / > Existing) Suite M Former Tenant: Q Name: C._VN0hs X yak&IS AAA gV rA,, wmS Phone: C S*A- 4 3 A-8171 Property Owner Address/ City /Zip- P-0 DOX J hOSehoJv► Am JrJrO (o$ Applicant is: Owner Contractor Type of Work Description of work7eA O ~C- X12. - ('oo~ G-K ~ Kn r 5 a . nh Ct ~a~ C` Construction Cost 177,3 Name; O ~ COV ~ C%x1i o License lJ C_ ~aZ ~ t e1 Contractor Address: ~1e\p~ L ~~ow~c~t pvG.- City: 1050- M0J% State: M~J Zip: 5 S~~Q Phone: `1 9 ('06- Contact: Email: LGvi Name: Registration Arch•itect/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.orrg. 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 O x 3MA Applicant's Printed N We Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA149701 Date Issued:06/05/2018 Permit Category:ePermit Site Address: 1892 Sapphire Pt Lot:125 Block: 04 Addition: Diffley Commons 2nd PID:10-20451-04-125 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 - Nickolai Ipatov 10051 Waterfront Dr Woodbury MN 55125 Applicant/Permitee: Signature Issued By: Signature