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3874 Canter Glen Lane - Tie In Card [----....... . . --t -,^ids . W 1 _ .,. .. s t ; tQ r Y0'.,.: .c • 7 0 9 3..., t t1. i # t;"4' t 1 x , • i . , . T . , >R ' 7 ' ` ' k ,,` , r .. # , Af :4 . ',': ' �x '° r . v :.fit 11 :; „,< .. e - -` s Rks For Office Use o EAGAN aqye�� v,e�rt Permit#: RE,,,..,...v.. ...., ermit Fee: �f� r p MAY ,L 0 2018 Date Received: ,5.10 18 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)'675-5694 buildinciinspectionsacityofeagan.com Staff: L I .., 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date; JSite Address:, 36)4--;) C�„'v��1�` �+` F� eArv, Tenant: \)\. o\( `" { ` 'v *k +v I Suite#: ' ,e� eWkf4 ®' �4 � Name: tr' 7 t,-.3.,, .,fiy 3) , i to N � } Address/City/Zip: _ t lA_ ! �." ;f;.,✓f �7 y8 F4'"i, a T. _ _ `-� N' x'7` Name: MILBERT COMPANY dba CULLIGAN WA) ER �` +g�� License#: WC641376 441'V140474 7''44A-t Address: 1801 50TH STREET EAST ` � a #:; City: INVER GROVE HEIGHTS a . tat :..,.(i 0,,,..:,1!.4.,•:q,,,,' r „� k State: MN . Zip; 55077 Phone: 651-451-2241 atit4 iR, tr `v 't>� a Contact: BILL MILBERT Email: gloria.abas@culligan4water.com 4. 't 4 immie e f 0 rNwurd,��,4. ,, „,,,,,...,,f,e,,,.4 ei,,ti,, 'i,- ,,,..,-- , .,. A.,.: New _Replacement Repair Rebuild Modify Space Work in R.O.W. � etV =, � � ,-.- Description of work: ' g �, ''�'r RESIDENTIAL �s ,� , r it,s %,,, ,0 Water Heater 44N-'.:: s� ' a jr 1'ti Lawn Irrigation( RPZ/_PVB) X Water Softener errnit�Ty {r„fn {;r ,, 4,:,4,z,,,../ Septic System _Add Plumbing Fixtures( Main./ Lower Level) M Y tr,7k 1- il., l 4 ,. tt ` if ' New Water Turnaround ,L `r{c4'_W<a"i < Abandonment RESIDENTIAL FEES: _- _ ....--.�..._,. ----- $$0.00 Water Heater,Water Softener, or Water Heater and Softener(includes State-Surcharge) ~ $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) `Water Turnaround(add$280.00 If a 3/4"meter is required) $115.00 Septic System New(Includes County fee and State Surcharge) TOTAL FEES $ 60.00 CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454.0002 for protection against underground utility damage.Call 48 hours before you Intend to dig to receive locates of underground utilities, www.gopherstateonecall.orq • 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 en application for a permit, and work is not to start without a permit; that the work will be in ac orda'cewthe approved pan In the case of w. k which requires a review and approval of plans. xJ ( G P' , 1 ' Applicant's Printed Name Appl ant's Si!nature 4sIIWAP' MA Uxf r� ,qt �_ t •,.,th w (4: i � t '�- a � wORO +FCESE , e 4, < . Figle�(A8. Y itf � , , a zIDifie ts ha )Re^1 len1,11''6"91111i 1 }1t�; ne { + � P�h n � f `Y } } K� 8� � z ,c x 4`40, z �, - e " r .kb4aK , a,,,,,. s Sf� 4�er1Reate• ems: Mee ker ' . gdtRead4Mnom e'- � 1, e