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1345 Crestridge Lane unit 201City of Eagan PERMIT 411' CityofEaan Permit Type: Plumbing Permit Number: EA134534 Date Issued: 12/22/2015 Permit Category: ePermit Site Address: 1345 Crestridge Lane 201 Lot: 081 Block: 01 Addition: Pilot Knob Heights 3rd PID: 10-57502-01-081 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 Surcharge -Fixed $1.00 0801.4087 9001.2195 Total: $60.00 Contractor: Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 - Applicant - Owner: Louis Hallefin 1345 Crestridge Ln #201 Eagan MN 55123 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan PERMIT 411' CityofEaan Permit Type: Mechanical Permit Number: EA134535 Date Issued: 12/22/2015 Permit Category: ePermit Site Address: 1345 Crestridge Lane 201 Lot: 081 Block: 01 Addition: Pilot Knob Heights 3rd PID: 10-57502-01-081 Use: Description: Sub Type: Residential Work Type: Replace Description: Furnace & Air Conditioner 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 Total: $60.00 Contractor: Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 - Applicant - Owner: Louis Hallefin 1345 Crestridge Ln #201 Eagan MN 55123 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. Applicant/Permitee: Signature Issued By: Signature SEDGWICK HEATING & AIR CONDITIONING CO. 1408 NORTHLAND DRIVE, SUITE 310 • MENDOTA HEIGHTS, MN 55120 • (952) 881-9000 ADDRESS ✓ 14 S OCCUPANT •7i11tL Crt5kr; J 'Ant - 2b SOLD BY jo54� CITY UNV/1 OWNER HEATING TEST RECORD 1.4u ali et, INSTALLED BY JOB NO `f/ 601 MAKE 1.4.A•w076 MODEL ML ('I0 jfl 'tV-Pv`1,4 SERIAL NO 4" 1.3 71 (-11 INPUT ` / o00 THERMOSTAT E•otbbrA lob VALVE / TYPE OF LINER ` t/ LIMIT -5/1.7 LIMIT SETTING i WV c" ° FILTERS. SIZE 1 L-0 A f \ >i I FAN SETTING WIRING PILOT TYPE V `, TEST TAG IGNITION MODEL ` /iC LIGHTING INST. s� j' PILOT TIMING '? ) V V Ci— PRESSURE 3 k PERCENT CO2 71 INPUT CFH _ PERCENT OZ 191ii STACK TEMP. t PERCENT CO L ( NAME OF TESTER f / VENT SIZE �! LINER SIZE 1.01 NUMBER DATE TESTED COMPANY TESTING FORM 235 (REV. 10/10) FORM DISTRIBUTION: ITE - JOB FILE YELLOW COPY - CITY