unit 104PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA131969
Date Issued:07/17/2015
Permit Category:ePermit
Site Address: 3579 Blue Jay Way 104
Lot:264 Block: 04 Addition: Lexington Place 1st
PID:10-45050-04-264
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Charles W Holman
3579 Blue Jay Way 104
Eagan MN 55123
(612) 206-5372
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature