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City of EII�aI1 Permit 7/0 6 c/
3830 Pilot Knob Road Permit Fee: .30
Eagan MN 55122
Phone: (651) 675 -5675 Date Received:
Fax: (651) 675-5694
Staff:
J
1 2009 COMMERCIAL PLUMBING PERT A PLICATION
Date: _l Site Address: t sr T eC
Tenant: Suite
PROPERTY QO'J3 O -E :J(4 1 Name: Phone: F {tales �/G
CONTRACTOR Name: v A--Vx. Q b License d (00- 8C P
Address: a 90 elf .lnti. e4 U Cit J G,VvCJ-s State: Zip:
Phone: C-S 1- ((o o cf Person:
TYPE OF New Replacement Repair Rebuild Modify Spacceer/ Work in R.O.W.
WORK G� l
Description of work: l f E &:et r C
PERMIT TYPE COMMERCIAL
New Construction Modify Space
Irrigation System yes no) RPZ PVB)
Rain sensors required on irrigatio s tems
Avg. GPM (2" turbo requir d unless smaller size allowed by Public Works)
Meters Call (651) 675 -5646 to verity that tests passed prior to picking up meter.
Domestic: Size Type Fire: Size Price 3/4" meter $203.00
Avg. GPM High demand devices? Yes No Flushometers Yes No
COMMERCIAL FEES:
$50.50 Minimum (includes State Surcharge) OR Contract Value x 1%
U 6 Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 Radio Meter Read
If Permit Fee is less than $1,000, surcharge is $.50 Meter(s)
If Permit Fee is $1,000, surcharge increases by $.50 for each $1,000
$1,000 Permit Fee (Le. a $1,001 $2,000 Permit Fee requires a $1.00 surcharge). State Surcharge
Following fees apply when installing a new lawn irrigation system. Water Permit
Call the City's Engineering Department, (651) 675 5646, for required fee amounts.
Treatment Plant
Water Supply Storage
State Surcharge
TOTAL FEES
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.
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Applicant's Printed Name Applicant's Signatur
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Requtredl Inspections,. tJndef G ound j Rough In Au Tes as est Final
Page1 of 3
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� Permit Fee: �
3830 Pilot Knob Road AUG 2 9 2p�4 � �
Eagan MN 55122 I Date Received: �
Phone: (651)675-5675 � I ____��-�T I
�j�, � Staff: �
Fax: (651)675-5694 L________________�
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite#:
(� ( � R � � i �
Name: `�"�!1 d ' " ` �i.l� j Of,tir'� V�.�✓j/l.e S Phone:
Address/City/Zip: � `'f �p I �°� �n /•Pt' l��Q
Name: ��� '�`�1,�1�Lt'. `�-tCL�-�1�� V�`I W �`�°Cicense#: C����F (4 �`7
Address:���l� iiii�.�.;1�-i,:,'�''� �` �S�'`l City: ��.t,-1�W
State: V 1,�L Zip: ����e�. Phone: �r'��� `'�l� "� �C 5 �
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Contact: i�+ �S� �f"Li.t5{�t EmaiL• � e.�G�iC;¢,�NZ4�t d�� �'i.�Lti t�l?JV�
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_New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
�Lawn Irrigation(�v RPZ/_PVB) Water Softener
Septic System Add Plumbing Fixtures�Main/_Lower Level)
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround'`(includes$5.00 State Surcharge)
"N/ater Turnaround(add$200.00 if a 5/8"meter is required)
$115.00 Septic SVStem New($10.00 per as built)(includes County fee and$5.00 State Surcharge)
TOTAL FEES$ (�� <O C�
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.popherstateonecall.orq
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.
� ...
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Appl�s Printed Name Applicant's ignature