Loading...
4637 Dakota Path 2014-08-24 12:09 SWANSON PLUMBING INC 9524673708» 651975 5694 P 1/1 Usa BLUE or BLACK Ink � Fa'OMics U�ee+��/� 1 n ,�//��3 � ��� O�11���11 1 Pertnil#: � �x W � 1 � �-- "' 1 ( Permit Fee: � 3630 Pllot Knob Road � I Espan MN SS122 I Dete Received: � Phonr(BS7)875�d875 � � � BmR:�� � Fax:(661)675�6694 � � 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Plssl9 submit lwo(2)sets of plans wllh ell cOmm�►clal appllcations. D�:,�,���� Slb Address: M � °�.�� T�met: Sulb�: -- �0�� ------ �.._._... ,....,.._...._--.-_•---_ �.-,__..r.._.,. ,....._..�..............,,.._..,...__.._ �tNfIK �Name:�� ��/ Phone: .__ .........._.___..._ _...5._.r _._.._..__._...----�----._.......__.-_,-__� .._...._... Name: w 4►w mn/ r,✓��iv LiCenBe# / C.� / 3 ys��_�_ Contractor ,��58:�(�S 9/ 3Sl ve c�c�: n� _�,siate:�z�;SS,�j Pho�le: ��2-_5���/�r 7 Email: S�✓�U�7'0�41J.ew'��Oa1�C�/tiew j/r GA Type of Work �N�" -.-.Replaoement _Repair _Rebulld .,_,_Mocll(y SpeCe _Watc in R.O.W. o�crlptlon of work:xNs�,,� w. /�M l.�i� � ��� �ti Z'.��y.�,�Er� ._„__ __. _.,_......._..__....__..�........_„�...�........._. r.._�__.._,.r._.__..�. COMMERCIAf. _n�ew conel►ucticn _Modlry spacs �bri0atlon Sy�IM1(�yes/_no)(,�RPZ!_PVB) • Raln senaons required on imgeGon pys��9 Psrmit Type . Avp.GPM_,,,_�2'ttu�e requked unleee emeller else allowad Ey Publle WoACS) MN�rs Cep(851)675561810 verily thal test6 pe99ed udor m ekklna uo melar. Dom��tle:Slxe a Typ� Fin: 1 Avp.CiPM JrT Hlph Mmand dwlo�s9 M7os_N��.�. Flu�hanei�p YN�!o . � COMMERCIAL FEES Contraee Valua S ��D O �y � x.01 SS5.00 p��lt Feo Mlnimum =S Pemtlt Fee 'If contract vslue ia LESS tAan$10,010,Surcfter9e=$5-00 =S Surchaige• "N CoMract valu�is GREATER lhan$10,010,Suroherge=Contrad Value x SO.p005 "'ll the projeel valuatlpn Is over$1 mlllbn,pleeee call tor 5urcharge___^T,TV�. -S -��_�MTOTAI.FEE FoRowlnp f�es applywMn Inatslling s new IAwn Uripatlon�7ntam S WeterPe�mA Con1ac11he Cily'e Enginee�ing Dape�Vnani,(851)8�5•5848,ror requiied ree emounle. i Troa�tl Pisnl s waea.swory e�sto�a�e _.._..._.,......_..�.�.._......._.._.._...`----•---._.....�___.T._,_.,_.._..._..r.................�S s�ete sum�e�ye....,....,, _.........._......_,....__--------�,- _.._._..._T..,..,......................__....�.___- - -------�-�._.... TOTALFEE__ CALL eEPOiiE r�1�, Cell qapMr 9t�b On�CNI N(A61)!l1�0001 for p�tecllon apeinst underpround utNlty d�mp�. 1 I As►ebY aoknowledpe that tl�la In/ormalbn 1�complsb a�d aacu�ale:u�et u,e wortc wlil bo In contortnance wllh Ihs oMinences antl�eea of the Cky of Eegen;Ihel I underetand thb U not e pannll, bul only en applicetian for e pem�p,and work I�not ro tlsr►w1lAoul s psmdl;thel M�e wock wi11 be M eccardonce with th�epprovse ptsn In the ceee o(work wl�id,requl�ee a�evbw�nd epp�vvel of ple�e, r �i/�wNy �'�-"°"f0i` AppIIUM's Pr tsd Neme ApPilcan!•i S ro FOR OFFICE U8E qpp,�By; p�; Raqulnd Irup�cMans: „_Under Ground �Rou�h-In _Air Test _Gas Tsat w„FMeI PRV Rsqubed:_„_Yee_No Malor Ralatod 1�1ts; Meter Si�e Redb Read_ Manomater� Staf�: Page t ot 3 � Use BLUE or BLqCK Ink � r-----------------� I For Office Use � � � Permit#: t!J �� i Clty of���a� � ,� �� � 3830 Pilot Knob Road i Permit Fee: � � Eagan MN 55122 I �+ ��, � I Phone: (651)675-5675 I Date Received: U I Fax: (651)675-5694 � I j Staff: j �------- ---------� 2014 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY � �_ . , � /� _ Address: ��� _ �l(✓� l ���J�� �� FOR fJFFICE L1SE,ONLY PRV r�quired ��' Property Owner: '— �''�r�.., �,�'��,,� �� — � �� Phone: Contact Name: r �'lN ; (,��t,.�/y�y� PeFml# ��In, Plumber: � t�'�;���� � �t1l f'Y�,�'j f n� ��ounfy f�C3-W Permlt �REu�ib"rnc�:F�errr�it �.-. ...,, � ��-SEYICER � ° r � � WATEF2 Sewer Service Water Service �� � Sewer lat`eral charge Water lateral charge �� Sewer trunk W�""'�°�� °� Water trunk _�Q_� City SAC @$100/unit� �� Water Sampling Fee �,� ��; � ���� MCES SAC @$2,485/unit,,.�� Water supply storage �_ Receipt#:�,,A.��'"'=, pate: ° Receipt#: , Date: Permit Fee ,_ -�'"` � $60.00 Treatment Plant @$828/unit `y� �,�,'� State�.wrcharge .00 Permit Fee $6U.00 �" TOTAL:��� State Surcharge $5.00 "Plumbing Permit Required—water meter to be acquired with building permit TOTAL:'��� �},�, ^ ��;�����C����� , ._._.. Sewer Service °-�r� ;�L�, � � Water Service ��� .�; Sewer lateral charge �°'�r Water lateral charge ,,,,,,.-�^° ,,,. Sewer trunk ��-�- `"'-� Water trunk �Wa.tP�r Sampling Fee __..,.-�-� City SA`�...�„..�.a. .,.�..: MCES SAC �'""�„ Receipt#�"``��,.,.�Date 'Water supply&storage Receipt# , Date��m�Y Treatment plant �,. Permit Fee $� . Ar,,.�°`"'� State Surcharge $5.00 , �-•�...._......�„,�,�.., � "Plumbing Permit Required—water meter to be acquired with building permit TOTAL: ��_, j Number of SAC units is determined by the Metropolitan Council Environmental Services (651) 602-1000. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq Cc: City of Eagan Finance Department