Unit 103 t,704
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For Office Use � � 1
Permit#:
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Permit Fee: 7 7- b
, Staff:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 � I
�il�� Payment Recvd: Yes No
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 N \\
Email: buildinginspections(a�cityofeagan.com ��
Plan Submittal: eplans aecityofeagan.com AUG16 2019 Plans: Electronic Paper ,
2019 COMMERCIAL MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the
submittal, submitted via email, CD or flash drive
Date: i I la, 14 Site Address: `3.3.5 tv S her rnos, ('-4--.
Tenant: MS G M t t\P Q 04-CL Suite#: 1 03
Owner
Name: Anne, LA-orr-E- Phone: til la - "[ 1 O - 7530
Address/City/Zip: .335`Q She rrneLn l_,+.
r //�� 1 L t� q...5•riName: j31 V Q. 0 RLocti (1 £ ' t C License#: M,� (Dt 1
1 5
Contractor Address:\_5-7a o =h+I. 4 <VI / City: N t.� ti op -e
State: NI J Zip:Ss Li.a? Phone: G la -02 3'2 "Q 9 a�
Contact: 74n3_,E. G2€.k\1.e Email: eat e. e _. e to a
New V Replacement Additional Alteration Demolition
Type of Work Description of work: 4/c, r qi ace m e.r\--k--
,
NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
COMMERCIAL
i,,`',.'.1-"' New Construction Interior Improvement
{' Permit Type Install Piping Processed
Gas 7-Exterior HVAC Unit
Under/Above ground Tank ( Install/_Remove)
COMMERCIAL FEES C
$60.00 Permit Fee Contract Value$ si 0 00 x.015
Minimum
$75.00 Underground tank removal, includes State Surcharge =$ '15. o0 Permit Fee
Surcharge=Contract Value x$0.0005 =$ J Surcharge
If the project valuation is over$1 million, please call for Surcharge =$ 71.50 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.citvofeacian.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 requires a review and approval of plans.
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Applicant's Phi �ted Nam Applicant's S'l ture
FOR OFFICE USE
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Required Inspections: Reviewed By: / - Date: 0///
Underground Rough In Air Test T Gas Service Test In floor Heat Y Final _ HVAC Screening