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1540 Thomas Lake Pt - Unit 114 Use BLUE or BLACK ink Forr 411.011 Permit (47( City of Eagall Permit Fee: 60- OD CC- MN Pilot Knob Road Eagan MN 55122 Phone:(651)675.5675 Date Received: L staff: 2017 MECHANICAL PERMIT APPLICATION 0 Please submit two(2)sets of plans with all commercial applications. Date:0 -8 -17 Site Address: 15'0 o T),a r„d, ?d:x.16 c Rc Ca 9c,.,,.► )ivW s.r 1 ZZ Tenant: /1.4I if `'r-.]`7,``-��� / J`�<: Suite 0: RAlIt IM1�OtM1I • Name:/UCUWwh�1 t•dl G Kat,,Sh3Q Phone:4j5'I-6 8- 797 Address/City/zip:I OO i l.o, s tJ0e. ?d:14.14_, Rcg • PAL50-..1 jr1r4) 5-57Li Name: 6;/sot.) kV/ C.. Cerl License# A)I,'`1 • ' Address: /'.5+2.g / t A V. City: '67.e‘_heir Contractor, , > State:_ rJ Zip: S`-5'3 0 5 Phone: g 3- Z l6 I-�/ 9r ' .• Contact: Kw WI LSO t' Email: Gl)l XS WAG 63oJvn 0 +C10 w+ • New ✓Replacement Additional Alteration Demolition Type'Of Work Description of work:&Q Com. L...v e.c.e.... 4 /1 /C NOTI:Roof moimmts�,and.groind,mou , d mechanical equipment is required to be screened by City Code►,Pispq..t ontltet lite MI" ',', a�*specter to Information on permitted screening methods. • RESIDENTIAL COMMERCIAL JZFumace New Construction interior Improvement pil>yllt. .,i,,ZAlr Conditioner _Instal Piping _Processed Air Exchanger _pas J Exterior HVAC Unit ----Heat Pump Under/Above ground Tank Install/_Remove) Other RESIDENTIAL FEES $60.00 minimum Add or alteration to an existing unit,includes State Surcharge // $100.00 Residential New,includes State Surcharge =$ fO 040 0 TOTAL FEE COMMERCIAL FEES $60.00 pylntit Fee MinimumContract Value$ x.01 $75.00 Underground tank Inatellatlon/removal,includes State Surcharge _$ Permit Fee Surcharge=Contract Value x$0.0005 =$ Surcharge If the project valuation is over$1 million,please call for Surcharge =$ 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.oltwfeaosn.comrsubserib., 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 Ie not a permit,but only an application for a permit,end work is not to start without a permit;that the work will be in accordance with the approved plan In the frcase of work which requires a review and approval of plane.J!� ,(/ x f' d.t> � LU / )[60,.) x /.4,L,../. 5 , ,j Applicant's Printed Name Applicant's Signature FOR°ma use Required.tssp ons: Reviewed By Date:_„__„_,,, ,Unclog/pond Rough In Alr Teat Das Stlrvica Test in-floor Heat Final HVAC Screening