#201AGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694
Email: buildingins ections (Dcit ofeagan,com
Commercial Plan Submittal: eplansPcityofeaean.com
For office Use
Permit #: ib
Permit Fee: co
Date Received:
Staff:
2020 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 11/4/2020
Tenant:
1540 Thomas Lake Pt Rd #201
Site Address:
ResidentlOwner
Contractor
Permit Type
Type of Work
Suite #:
Name: Nationwide Housing Corp
Address / City / zip: 6200 Shingle Creek Pkwy #300
Phone: 763-23 5280
Name: Heating & Cooling Two, Inc
MB003401
License #
Address: 18550 Cty Rd City: Maple Grove
State: MN
Zip: 55369
Contact: Linda Locke
RESIDENTIAL
V Furnace
Air Conditioner
Air Exchanger
Heat Pump
Other
Phone: 763-428-3677
permit@heatcoo12.com
New V Replacement Additional Alteration Demolition
Description of work: Replace Furnace
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
.$60.00
TOTAL FEE
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I hereby acknowledge that this information is complete and accurate; that the work will be in cqnformance with the ordinances and codes of
the City of Eagan; that I understand this is not a permit, but only an application for a per , 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 wtich require/ceiew and approval tans
x Linda Locke
Applicant's Printed Name
;11
(Applica 's Signature --
FOR OFFICE USE
Required inspections:
Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In floor Heat Final