Loading...
1014 Kensington Tr #101 m For Office Use C Permit#: Permit Fee: 60-do `- 3830 PLOT KNOB ROAD I EAGAN,MN 55122-1810 -- Date Received:?'/T - U (651)675-5675(TDD:(651)454-8535 I FAX:(651)675-5694 Email. ; ilriin Ins echor-45),sayofeagan cora AUG 14 Z018 �Staff: 4Y Commercial Plan Submittal:ensC�z)c.% ��tea .uiar 2018 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: . .> Site Address: I D) t "t ir, Tenant: Suite#: Name: ..fid' Phone: Resident/Owner # Address I City I Zipt ( y1 t a n vi'-'tot : Name: '"` �''4 Air License#. ME PI / f Contractor Address: saE l aye . City: t y State: Zip: 55439 Phone: `7 6-»m ro 7777 1 tt Contact: t �} t� � Email: e.cam,, �.... _. _ RESIDENTIAL, Furnace X Air Conditioner Permit Type _Air Exchanger t Heat Pump g Other New i Replacement Additional Alteration Demolition Type of Work Description of work: ' . « RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge t $100.00 Residential New,includes State Surcharge =$ 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.citvofeauan.cornisubscribe. 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 Wade Applicant's Printed Name 3 Applicant's Signature .. FOR OFFICE USE Required Inspections: Reviewed By:- Date: Underground _Rough In _Air Test Gas Service Test In-floor Heat Final