Unit 302 „3-7(..4).../4, For Office Use
%%‘ °,4 E AG N ,
���• •, „ Permit#: —70
Permit Fee: ®• O 6
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: buildinginspections(t cityofeagan.com Staff:
Commercial Plan Submittal:eplansCu cityofeagan.com
2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION
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7/31/2019 ” I homas Lake Pt Rd L
Date: Site Address: ice'
Tenant: Suite#:
Name: Nationwide Housing Corp Phone: 763-231-5280
ill*Resi`dehy
6200 Shingle Creek Pkwy#300
Address/City/Zip:
Heating & Cooling Two, Inc. License#: MB003401
Name:
re '`4 - 18550 Cty Rd 81 Maple Grove
x Address: City: ;
xk State: MN Zip: 55369 Phone: 763-428-3677
Avg,
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.' Contact: Linda Locke Email: permit@heatcool2.com
RESIDENTIAL
e 14 sREt. 1 ;a1't
•41 �V Fumace
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Ra e
1 f fn a �3 / Air Conditioner
`.41 L
4 Air Exchanger
" Heat Pump
a st y
Other
New I Replacement Additional Alteration Demolition
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�A Description of work: /IJ67(! ' f (7
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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 j
on the City's website at www.citvofeaaan.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 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 r:•uires - review and appr I of plans.
XLinda Locke x
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Applicant's Printed Name • Signatur
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