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#201
EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 Email: buildinoinspections@cityofeagan.com Commercial Plan Submittal: eplans@cityofeagamcom For Office Use Permit #: /10 (-79 (-)- Permit Fee: Date Received: Staff: t_ 2020 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: 1 /4/2020 Tenant: Site Address: 1530 Thomas Lake Pt Rd #201 Suite #: Resident/Owner Name: Nationwide Housing Corp Phone 763-231-5280 Address / City / 6200 Shingle Creek Pkwy #300 Contractor Permit Type Name: Heating & Cooling Two, Inc MB003401 License #: Address: 18550 Cty Rd City: Maple Grove State- MNZip: 55369 Linda Locke I Contact: Email: permit©heatco012.com Phone: 763-428-3677 RESIDENTIAL ti/ Furnace Air Conditioner Air Exchanger Heat Pump Other New Replacement Additional Alteration Demolition Type ofWork Replace Furnace Description of work: RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge 6000 =$ 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.citvoreadan.comisubscribe. 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 perrnit, 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 reguir a" review and approval of 9ijis. x Linda Locke Applicant's Printed Name nt's Signature FOR OFFICE USE Required Inspections: Underground Rough In Air Test Gas Service Test In floor Heat Final Reviewed By: Date: