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1523 Clemson Dr BPERMIT City of Eagan Permit Type:Plumbing Permit Number:EA126806 Date Issued:09/10/2014 Permit Category:ePermit Site Address: 1523 Clemson Dr B Lot:10 Block: 03 Addition: Thomas Lake Heights PID:10-75950-03-100 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. Tony Boerner 2090 County Road 42 W Burnsville, MN 55337 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 - Ferade J Ferasol 1523 Clemson Dr Unit B Eagan MN 55122--289 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature CITY - OF' EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: _ No. of Units: Owner: - — — Address: Site Address: _ Plumber: Meter No.: __ Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: _ Total: By Date Paid: Date of Insp.• / Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: 15 23 11~ 2~ I 15 as P I OZ_ '8 C w wt son W Use BLUE or BLACK Ink F----------------- For Office Use I I I j Permit 113Q 8 11 j City of tap Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I I 2013 RESIDENTIAL BUILDING /~PE~}RI/ Date: Site M~ IT A~P` lPL~ jIC V t ATION ~e~} f!\~ El y J y iI Unit#• "je Y I o Address: S'A~dd t j~ ~ j ~ ,fit wj~ t~ ~ 4 a ` . i a i l V Phone: 19' s M G C Name: 1 Resident! - ~ - ` , ' 2 Owner Address / City / Zip: JC i Applicant is: Owner Contractor Type of Work Description of work: ~ 11 W4 CAffAA Limului CAI - 91& m Nf Construction Cost: V Multi-Family Building: (Yes X / No ) Company: LL f1occ IY)0) a-A't Q2"_d(d rnJ `Eontact: ~&Uwt yr `V 1 Address: CI )()G f ,~C11~SIC~v- 6%Jd City: _S4 LC3u- Contractor State: MV Zip: S~y Phone: License 0-1Q_0D LU Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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 they are trade secrets. 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.cioi)herstateonecall.org 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 approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X [/l 4 Po'A.Miv-,'~ Applicant's Printed Name App ' 1Vs ig ature Page 1 of 3