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3579 Blue Jay Way Unit 204City of Eagan PERMIT City of Eaan Permit Type: Mechanical Permit Number: EA119203 Date Issued: 11/19/2013 Permit Category: ePermit Site Address: 3579 Blue Jay Way 204 Lot: 272 Block: 04 Addition: Lexington Place 1st PID: 10-45050-04-272 Use: Description: Sub Type: Residential Work Type: Replace Description: Furnace Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Holly Flood 1408 Northland Dr #310 Fee Summary: ME - Permit Fee (Replacements) $55.00 Surcharge -Fixed $5.00 0801.4088 9001.2195 Total: $60.00 Contractor: Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 - Applicant - Owner: Yvette M Malinowski 3579 Blue Jay Way Unit 204 Eagan MN 55123--221 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. Applicant/Permitee: Signature Issued By: Signature SEDGWICK HEATING & AIR CONDITIONING CO. 1408 NORTHLAND DRIVE, SUITE 310 • MENDOTA HEIGHTS, MN 55120 • (952) 881-9000 HEATING JOB NO / ` 00 TEST REQE)VED ADDRESS 3C-741 &'r' --"""y ta1 CC �-''Y�7- CITY P.449 JAN 1 2013 Fa09J�.,1) OCCUPANT SOLD BY MAKE hcodde. SERIAL NO $ 9 /31J cFc2,Z THERMOSTAT (.1-4:.(>,-` J6 Y%c>rS, VALVE (h' -/c oc, �� =5 LIMIT -5;1 u IP LIMIT SETTING FAN SETTING C -C PILOT TYPE ..% IGNITION MODEL PILOT TIMING ✓/J� r V� PRESSURE` INPUT CFH CC STACK TEMP. FORM 235 (REV. 10/10) PERCENT CO2 '7 0 PERCENT 02 / " f' PERCENT CO OWNER INSTALLED BY MODEL L )SFC/ lo V56/1— INPUT aw/1— INPUT VENT SIZE TYPE OF LINER ci5G `" LINER SIZE FILTERS: SIZE /"r A ), 10 WIRING V ,- TEST TAG LIGHTING INST. 1' ^ / " A I �'S NUMBER 1 DATE TESTED /I/ -? o 4-3 COMPANY TESTING C.J NAME OF TESTER il Z 1< FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY