Unit 101 * 1"
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E AGA Permit#:
Permit Fee: '10- O
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: buildinuinspections ac ).citvofeaoan.com Staff:
Commercial Plan Submittal: eplans@citvofeaqan.com
2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 10/21/19 Site Address: 1510 Thomas Lake Pt Rd #101
Tenant: Suite#:
Resident/Owner .
Name: Nationwide Housing Corp Phone: 763-231-5280
Address/City/Zip: 6200 Shingle Creek Pkwy #300
Name: Heating & Cooling Two, INcI M8003401
License#:
Contractor
Address: 18550 Cty Rd 81 city: Maple Grove
Zip: 55369 Phone: 763-428-3677
State: MN
contact: Linda LockeEmail: permit@heatcoo12.com
RESIDENTIAL
Furnace
Air Conditioner
Perml : ype,
_Air Exchanger
Heat Purnp
Other
New ✓ Replacement Additional Alteration Demolition
Type of Work Re lace Furnace
Description of work: p
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.citvofeacan.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.
.Linda Locke
Applicant's Printed Name Applicant's Signature
FOR OFFICI .US4
Required Ins a ioiiis : Reviewed By: - Date:,. .
Underground„ Rough In Air Test Gas Service}Test ' in floor Heat Final