2194 Rocky Rapids Way
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Permit
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I Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
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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:
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Construction Cost: Multi-Family Building: (Yes' / No
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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.
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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