2117 Cliff Dr
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3834 Pilot Knob Read
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Eagan MW 55122 late Received: lea
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Phone: (651) 675-5875
Fax: (651) 675-5694 j
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 4kiol7 site address: 1 t a~+ '
Tenant Nam: (Tenant is: New ! Existing) Suite
Former Tenant /
Name. <f d,, f (f 1 ,rl- c ~F fry c ~c~.~tt0 9~~ 35 1/`
Property Owner
a Address !City 1 Zip: -%~a 4... 01,6/1 S -5r/ Z
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Applicant is: owner Conh-at*)r
Type of Work ! Description of work: 1 gar o4 JA--, -1,,/ 517~~rJ g- Ic~t c rr~ rVe4e--~.
Construction cast:
Name: ! ► i a t.}e r 2 c j License (G Z>0 S75- 7 Z-
Address: Z-1 e r Cr City: f fG rr Dc/Ct
Contractor f qc~
State: e4MI Zip: . 3 Phone: 01Z
4-Mt~Jret eons f4c{sw+rta~tl e. Gd+"i
conthd i(coroq Email: Sr-a/-A
Name: Registration t..
Address: City:
Architect/Engineer
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing M sewedwster service: Phone _
NOTE: Plans and supporting documents that you submit are considered to be public infamodon. Portions of
the information may be classiftod as non-public hf you provide specific reasons that would permit the City to
conclude ihat they are trade secr+~ts.
CALL BEFORE YOU DIG. Call Gopher State One Can at (651) 454.=2 for protection against underground utility damage.
Cali 48 hours before you intend to dig to receive locates of underground utilities. www.g2Merstateonecall.ora
I hereby admowleedge that this information is complete and accurate; that the work will be in conformance with the ordinances and
dories of the City of Eagan; that 1 understand this is not a permit, but only an app 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 warts which requires a review and approval of plans.
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Applicants Printed Femme A nature
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