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1550 Towerview Rd - RPZ Use BLUE or BLACK ink ----------, � For Office Use - � I Cit of�a aIl � � ' `� � � � � Permit#: I � I Permit Fee: � 3830 Pilot Knob Road � I � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 � Fax: (651}675-5694 , i Staff: j ������.��__._-.��_���..1 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#� ��r����� k:��� ��Prope Y � ( 7�1 � � '��� ���gr. .���� Name: i o ���i�N Phone: vl�S�– u�7S-- vr.Z o 0 ����� �r-� —� ��� �� 651-452-1565 �� � � � ;i��,_ ,a>� ` License#: ��Lt �d��.� ', � , � � 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. ���. � s_. ��n�r� ..— ( ? Y p ��'���,'�',.� � �;�'����r pomestic:Size&Type Fire: 1 ��'-y j�.".t�:;..�; .i:;: <��'..;_.- ���=�:�,�;;��` 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 . . x C���� ✓r�iG�7c-=�S' X f` � Applicant's Printed Name Applicant's S�gnature }�i�'4�4ii-�`�.p.�Yf�.�..�"^������ � � sti,�.� r w.u� ,. u^�,tk.F�"'Y.r�'K' iY°v,�SK'^"^;Yt �� 3 :•" 's � a�; 1 �;i"� �p EF�� d t.s�- "t .1x=7:7i* ,�� �U ���r�*�,�;���� r 3%��i?��.��'.`-�''i'�°`i.=4w�°��'�iF��`# �i��.:.�. .,�3. :��:���'g�'��Q�'t'5i�;�ya�'��sy�.fr�-7��Cyti# _rPr,y.� � .�����lQ�N��i'�E��ixy�'�t�".�t�.�r.;�,t'-r.�%''�� s�F�_`aw-._."'t,'�S'6.1 . _:�,�qp�KO�ye�, _.y.,.���i�d7l�l���i'�iTtk.� i;+S�{.���F'`€.s`w"�w±A��Date ��*a @'-�',� ��.;�. �.�?i �t`��ja "`�'- �i'i���,t. 5� �. .a.c t� 1'.c. q`z�s..��,���' T 4 x" , Y.t ,erN ,�° �,. t ��k"�`� .a t^n f�e �?; ..�::,a:7� ��a�°iir'k-�..r�`+�:`�:'.-F i�����,r� ��:ry�,,,�, .��''��''{�t�.`*u"'ra -,27'Lf�=��'��.3�4r�=. k� { L`'`'+�`���'`�33 u�.,..�i•7.1.��-'.- � �, -..,a. �.� ��� ��� � _�x,�, � �s, �;�}�equ�,red�r�specf�ons t z� lJn�der�Gro nd ��er��,�:Ro�igh�jn �Air�Te t�'���,�asrTes���u�Final����,�PR�Req�iirec�,�.��Yes,� �'�t�o5� : �`���--�=�r! t"�c =_v r i �;�,�r��a, 'f� x�s�� �..��" '��-•�k�t i�- fa;:. s�xrr"4a ks:-.��.r ��-.z.:= �� 7� ��.�'f c�,;`}',�.y`���`.'�,a�:l� b f*''d`�,_t�,:.'s.#�°+ti1 n-�e� �[ � X,r't.s �.�' �Fi� � �:� �.1; y�'�5�:� s"i't J�i��7� zS 'L f f-s � �'srx��,,�i: zE F_ d :.',n-� � � $.. 'x++'�dY�Li y-��a `�'S� �+� ix�{.s ;V'} 6 �' ?'���a`���_�'�-S-.'�YSfXA`i�kk�p.�t'�1. �kg�t'si�71L1"�"��� �'�; - .�r t �_ 4�.} n ,Il�leter Rela ed Ite�ris1 Meter�S�ze�r;;,�` ����F�ac�ro�F�ea��r�;��Njanometer�F����s��Sta�F ���+�� �?�: � ����� E `�: �� :�,�r��� s,G.�s.nwrck�a v.s,z�,.. ..:��n,rt : .i��,7.-�. .'. -cu�=,:.�.s�r .:.---c-,,»-L .g.,r:_is<tar..4�.,r.. ....ae�rt,..W�F:a+z•.ura-.n .��.iv_K�x,��"+.rn�..¢.....�' F� �...... . , -�Y Page 1 of 3