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3584 Blue Jay Way Unit 100PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA121564 Date Issued:04/07/2014 Permit Category:ePermit Site Address: 3584 Blue Jay Way 100 Lot:017 Block: 04 Addition: Lexington Place 1st PID:10-45050-04-017 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. Kris Oien 3670 Dodd Rd Eagan, MN 55123 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 - Steven R Quimby 3584 Blue Jay Way Unit 100 Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature