1550 Towerview Rd - RPZ Use BLUE or BLACK ink
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� For Office Use - � I
Cit of�a aIl � � ' `� �
� � � Permit#:
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I Permit Fee: �
3830 Pilot Knob Road � I
� Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 �
Fax: (651}675-5694 , i Staff: j
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2014 COMMERCIAL PLUMBING PERMIT APPLlCATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: �"�" /,S Site Address: ��,�� /�LcJLG� ���'�
Tenant•_ L ����� �� ��6�ri/� suite#�
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'��� ���gr. .���� Name: i o ���i�N Phone: vl�S�– u�7S-- vr.Z o 0
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��� �� 651-452-1565
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;i��,_ ,a>� ` License#: ��Lt �d��.� ',
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� Go�t- cor�; I
�r t - ._ `' �' WENZEL-PLYMOUTH PLUMBING,LLC � State: Zip: �I
��'�• � -y�`� -�=�-� 1710 ALEXANDER ROAD '
- s: .��� i:'' .-j�-" EAGAN MN 55121
�.. � � _ � � ' ,
` � cmichels a�wppmn.COm ent Repair X Rebuild _Modifx Space Work in R.O.W.
• ��pe of.�:.or,ry;� - - — —
•:�• «;��� Description of work: ��Z �
4 , �-�°� COMMERCIAL New Construction Modify Space
`�'���e ..l- '-'-F- �.��..: - - , .
��`��• :,?��t� _irrigation System�yes/_no)(�RPZ/_PVB)
' ..� . g r.._ .���-,��ry
'�•" - -�- - ��-;''��'°'� Rain sensors re
��������;��?��� • quired on irrigation systems
=F?er-�i:fi=�T#,�e?��'x
F � �,� �': • Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
``�� '�'"���> Meters Call 651 675-5646 to verit that tesfs assed prior to aickina ua meter.
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��'���,'�',.� � �;�'����r pomestic:Size&Type Fire: 1
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���=�:�,�;;��` Avg.GPM High demand devices? Yes No Flushometers_Yes No
COMMERC/AL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
_$ Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge*
**If contract value is GREATER fhan$10,010,Surcharge=Contract Value x$0.0005
"*'If the project valuation is over$1 million,please call for Surcharge =� TOTAL FEE
Following fees apply when installing a new lawn irrigation system $ Water Permit
Contact the City's Engineering Department,(651)675-5646,forrequired fee amounts. $ Treatment Piant
--� -� ,? __� $ Water Supply&Storage
'._ t � ` �-`�� L'' $ , State Surcharge
_$ � �� i'OTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Catl at(651)454-0002 for protection against underground utilify damage. 1 -
t hereby acknowiedge that this information is complete and accurate;that fhe work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but onfy 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 pla . .
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