Unit 207 E AGA N/(1--- 03- S71-f-
For Office Use
�. '• +'.•' Permit#: CC
Permit Fee: 60-
3830 PILOT KNOB ROAD( EAGAN, MN 55122-1810 Date Received:
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694
Email: buildinainsoectionse.dtvofeagan.com Staff:
Commercial Plan Submittal:eplansAcityofeagan.com
2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION
7/31/2019 1520 Thomas Lake Pt Rd -1,�(;
Date: Site Address:
Tenant: Suite#:
" AiNt4 4.14:,A, Name: Nationwide Housing Corp Phone: 763-231-5280
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51.°
� � a Address J City!Zip:
6200 Shingle Creek Pkwy#300
Heating & Cooling Two, Inc. MB003401
� 34 Name: License#:
k0 18550 C Rd 81 Maple Grove
CO
Address: City:
m M N 55369 763-428-3677
State: Zip: Phone:
Me
Contact: Linda Locke Email: permit@heatcool2.com
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zay RESIDENTIAL
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Furnace
Air Conditioner
Air Exchanger
Heat Pump
–4'1gg " Other
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New / Replacement Additional Alteration Demolition
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, � Description of work: �' JO I�-�', "��'✓,if '� � ( 1� �'� ,
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ 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.citvofeagan.comisubscribe.
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 r<< - and approval of pi
x Linda Locke X — e
Applicant's Printed Name A•11177 is i9 nature
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