618 Crane Creek Lane •
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`` 1� '' �r JAI �= Permit#:.
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=` Permll Fee: 6
3830 PILOT KNOB ROAD EAGAN,MN'55122 18.10 Date Received: l--a g_r
(651)675.5675 I TDD;(651)454.8535 I FAX: (651)675-5694
bulldinginsoecllynsno,cilyofea4an.Com Staff:
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2018 RESIDENTIAL PLUMBING PERMIT APPLICATION
(HI-i Date: Site Address; 1141 r /
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Tenant: , r •
lid b •rl ;SS; t°;4 ►i Suite#:
+rr 4° 1,..1:,/or,.. , � Name: ,�Z� )
?al '`tf1'e , y A�li.0 ,___ Phone' 3/
to',,,,.,l 1' ,mats..,.a)01.. Ad•dress/City/Zip: , . . .A
V,,•,.'',•51V1 +�`'t Name: MILBERT COMPANY dba CULLIGAN WATER 6
.1rtl t ' , 50 WC641376
, License#:
;��'�,� �d1„r� fii� 't=+5 Address: 1801 50TH STREET EAST
.A +d+ ( st)`zt.c��j z {., City: INVER GROVE HEIGHTS
, ';1 1 '2e , ��;��' State: MN 55077
; ;, ;,( I ( ztC Zip :Phone: 651-451-2241
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rigs,, ..a,> r, ,kktigli Contact; BILL MILBERT
Y q ';:;1• }1 t h Email; •loria,abas@Culligan4water.com
•`:'vot 4` --New Replacement Repair Rebuild Modif S ace' . �' `t,�'r Y P Work inR,O.W.
t§a.. im,,,i+d ..4,0>;k oxi Description of work:
k•;ruy 4 wy ,,��
+ fwe s,J`r4` T,{;�' RESIDEN _
t,A�;�,i.�r+',�� �t TIAL ---•------.,..._.�.-....
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ri;t,L`r irk>a'�s•r,d>#''>tar1 l°
rr'` {{ ,, Water Heater
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ea,.t 1 rn Vit" •'rr',� ..r _.Lawn Irrigation X Water Softener
'Z3% it e,ttrgitr,+T'p ��aN g ( RPZ/ PVB)
s\'jf,`1' }31'+I;l,'fTrlri:: ,10
i'1�t.r.�V y'/tait••4 , r;?, _Septic System Add PlumbingFixtures ( al
�>,.sh t,+yrt.t Q *4 4..•,-'?( n. Lower Lev
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+i s�,,,,�"�.�ti.•,t4y'^;�,.1r1,�('0;,'; New
• ti;}�a T:cilA rYFA;,� )40,,lR.4 Water Turnaround /
r•:•; ?:y{r ., �}. 1R4 „i�
,r1::, r:,t Abandonment
RESIDENTIAL FEES:
$60,00 Water Heater,Water Softener, or Water Heater and Softener(Includes State,Surcharge)
$00.00 Lawn Irrigation(Includes Stale Surcharge)
$60.00 Add Plumbing Fixtures, S.6itic System Abandonment
'Water Turnaround (add $280.00 If a 3/4”meter Is required)Water Turnaround*(includes State Surcharge)
$115,00 Septic System New(Includes County lee and State Surcharge)
•CALL BEFORE YOU DIG. Call Gopher Sroto One Call at(651)454-0002 for protection against underground ulllly dams' e',L FEES $ O o0
Intend to dig to receive locates-of underground utilities, www,•ouherstateonecall.or �
You may:subscribe to receive an electronic notification from the City of proposed ordinances g Call l uhours on ore you
webs.lto at ubscri a to r cat co an eleccribe. by signing up for an email update tho City's
I hereby acknowledge'that this Ihformalion is complete and accurate; that the work will be in conformance with the ordinances and codes of the Cil of
Eagan; that I under Land this Is not a permit,.bu only an application for a permit, and work Is not'to start without a permit; that the work will be In
acco dancewIt approvedeplan In 1 case f. ork which re uires a review and approval of plans. ,�
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