1700 Four Oaks Road - unit 318Description of work:
Tankless Water Heater
Standard Water Heater
Water Softener
Septic System
New Abandonment
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 ( FAX: (651) 675-5694
buildinoinspectionsecitvofeaoan.com
r For Office Use
Permit #: J ( 13
Permit Fee: 410 0
Date Received: ill
Staff:
2020 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: II I` ti%(' Site Address:
Tenant:
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Suite #: 31
Name: 2,L.I\pe ifvl.. Vrit Phone: (pI Z -'V 3'_ e7
Address / City / Zip: tl OO ri )y' pay'94 1 M N Ss /2 t
Name: License #:
Address: City:
State: Zip: Phone:
Contact:
Email:
New Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
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Lawn Irrigation (_ RPZ / _ PVB)
Add Plumbing Fixtures ( Main / _ Lower Level)
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Description:
Connection to City Water from Well
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well* + $290 for Meter and $200 for Radio Read = $550
*Sewer & Water Permit also required for connection charges
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.000herstateonecaltorq
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.
Applicant's Printed Name
X
Appl cant's Signature
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