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2194 Rocky Rapids Way r- j(y(30 YT~ '1' C% I Mgr Office Use I Permit city of Eap I& I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 Date Received: I I Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 I - 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: ~l ~T~-. Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: -j " Applicant is: owner J( Contractor TYPE OF WORK Description of work: J ~ Construction Cost: Multi-Family Building: (Yes' / No r CONTRACTOR Name: re_5 f ~*~~e'D✓'~ Lice_nse#: Address: 2 Z3 e2- City: State: ,G /?d Zip: _-5'/6e).' Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: 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 the are trade secrets. 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 ,ccordance with the approved plan in the case of work which requires a review and approval of plans. t x w x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA122584 Date Issued:05/13/2014 Permit Category:ePermit Site Address: 2194 Rocky Rapids Way Lot:003 Block: 04 Addition: Eagan Heights Townhomes 2nd PID:10-22426-04-003 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. Sammy Larson 505 Randolph Ave St Paul, MN 55102 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Dina M Wren Stewart 580 Cypress St St Paul MN 55106 (651) 261-9914 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature