Unit 302 , } �+ For Office Use
�w ♦,t �� w� Permit#:
EAGA
Permit Fee:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received:
(651)675-5675 I TDD:(651)4.54-8535 I FAX: (651)675-5694
Email: buildinoinspections(a citvofeagan.com Staff:
Commercial Plan Submittal: eplans(")a citvofeagan.com
2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date:
10/21/19 Site Address: 1540 Thomas Lake Pt Rd #302
Tenant: Suite#:
Name:
Resdent/twner Nationwide Housing Corp Phone: 763-231-5280
Address/City/Zip: 6200 Shingle Creek Pkwy #300
Name: Heating & Cooling Two, INcI MB003401
License#:
Address: 18550 Cty Rd 81 City,
Contractor
Maple Grove
State: MN Zip: 55369 Phone: 763-428-3677
YE6 ?
Linda Locke
Contact: Email: p permit@heatcoo12.com
RESIDENTIAL
Sr Furnace
Air Conditioner
Permit Tjpe
Air Exchanger
Heat Pump
Other
New V Replacement Additional Alteration Demolition
TYP°°f Wo
Replace 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.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 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 OFFICE.USE
Required Inspections: Reviewed.BDate
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