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3560 Blue Jay Way Unit 101PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA133063 Date Issued:09/21/2015 Permit Category:ePermit Site Address: 3560 Blue Jay Way 101 Lot:117 Block: 04 Addition: Lexington Place 2nd PID:10-45051-04-117 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Natalia Sadchikova 3907 Princeton Trl Eagan MN 55123 (651) 905-9905 Urban Pine Plumbing & Mechanical 780 Igelhart Ave St Paul MN 55104 (651) 888-2275 Applicant/Permitee: Signature Issued By: Signature For Office Use 9 , %:‘%* °'41°''' EAGAN ��•• +moi• Permit#: 76 ►1 Permit Fee: lv e 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Email: buildinginspectionsCa cityofeagan.com Staff: Commercial Plan Submittal:eDlans(fcitvofeagan.com L 2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: 7/Lib g Site Address: 35--(0 d 01uf, 47,ey / 0 1 Tenant: Suite#: Resident/Owner Name: 111/M I I A 4-5.4 G//)K p Vi9 Phone: Address/City/Zip:33 , f) /31t7i Joy a)"Y veli 1 0) k-,IgAvJ Name: D i N7-y C D429 License#: Contractor Address: 111`a 47,0 SQ, 406-64d1 pp, City: if 03� 1v o 113T r ,� State: /1771 � 'V �0 Zip: � 0�j Phone: )_ 2. 3— Z F t' ' 3 4 Contact: 44 Email: 144,41,41 / gY4/7 o - L°,•— RESIDENTIAL .Y Furnace VAir Conditioner Permit Type Air Exchanger Heat Pump Other New Replacement Additional Alteration Demolition Type of Work Description of work: /V-111') flv),A/A L' * 4 ) 'Yt' C. eD-D Yt )17.4)01—) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge 4 $100.00 Residential New,includes State Surcharge =$ (} f TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. X �fi v', -� V b g pig Applicant's Printed Name Apphca t s ignat FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final