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2196 Rocky Rapids Way 1 y. r -00 ® ~ d ` t I Fo( Office Use I I I Permit ~L I City of Eap I Llc)"3-b Permit Fee: I I 3830 Pilot Knob Road I Eagan MN 55122 Date Received: I I I Phone: (651) 675-5675 j Staff. Fax: (651) 675-5694 I - I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 6 " - e Suite Tenant: ~t5 T i ~D ~Q' 14- Phone:Lp! RESIDENT /OWNER Name: Address / City / Zip: A~ ,6 Applicant is: Owner I Contractor ~Utt-2fEl~~ 17GYX'.. /P+r°1°C.19/~~'~ TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes, / No License t CONTRACTOR Name: ~~--1~G'J~ f Address: 0 2.3 e2- 6A,, e4 d'4 If 1&-e 4-c') State: f'111l zip. City: Phone: G~1,5f " 41'0 g` 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 accordance with the agtll~n pproved plan in the case of work which requires a review and approval of plans. e__ N~ x x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160787 Date Issued:04/14/2020 Permit Category:ePermit Site Address: 2196 Rocky Rapids Way Lot:004 Block: 04 Addition: Eagan Heights Townhomes 2nd PID:10-22426-04-004 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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 - Christina M Toledo 2196 Rocky Rapids Way Unit 2004 Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature