Unit 220 / / -�6 /41 .. For Office Use
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Permit#: /'' 70 -e'.-
•,�, Permit Fee: e)-)- Cc
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received:
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694
Email: buildinginspectionsAcitvofeaaan.com Staff:
Commercial Plan Submittal:eplans@cityofeagan.com L_ .,
2019 RESIDENTIAL, MECHANICAL PERMIT APPLICATION
7/31/2019 15 0 Thomas Lake Pt Rd - `,2
Date: Site Address: "t'
Tenant: Suite#:
;: =6. 4 Name: Nationwide Housing Corp Phone: 763-231-5280
k� 6200 Shingle Creek Pkwy#300
., ,Tt Address/City/Zip.
� �'@, , ' :' ''',VI Heating & Cooling Two, Inc. MB003401
<<' p�� :< ���� � ,. .„.2,,.:,,, Name: License#:
18550 Cty Rd 81 Maple Grove 1
, .,, °,�; Address: City: i
�" MN 55369 763428-3677
- � State: Zip: Phone: i
-,,,' •Fp,: Linda Locke Permit@heatcoo12.com
� 7,, Contact: Email: p
` - .: ¥? .; RESIDENTIAL I
`` ,', ,.,°`° Furnace
:
, °max ti.;-,
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F ;
*q M , *; a Air Conditioner E
� m ,!2-•.1 .: : :�� i
,•:',..."',7. ,k ▪ W Air Exchanger
A f
a ,:, Heat Pump
S' w 'Nft1`.. 1
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M1Z � �&�� K" Other
• a r New / Replacement Additional Alteration Demolition i
' � ',, 5 Description of work: Via,a,ff e ; ,, t���%'/ /7/+t e i
RESIDENTIAL FEES 1
$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.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 an application for a pe • , and work is not t.q start without a permit; that
the work will be in accordance with the approved plan in the case of work which require- - eview and appr l'of plans.
``ter
X Linda Locke ., 1(, - 64 f:lee-------)
Applicant's Printed Name _•• ca is Signature
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