1540 Thomas Lake Pt. unit 116For Office Use
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694
Email: buildinginspections(o7cityofeagan.com
Commercial Plan Submittal: eplans@cityofeagan.com
Permit #:
Permit Fee: a d 00 (6-
/6r�
Date Received:
Staff:
L.
2020 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 12/1/2020 site Address: 1540 Thomas Lake Pt Rd #116
Tenant:
Suite #:
Resident/Owner
Name: Nationwide Housing Corp
Phone:
Address / City / Zip: 6200 shingle Creek Pkwy #300 Brooklyn Center 55430
Cont ractor
Name: Heating & Cooling Two, Inc
License #: MB003401
Address: 18550 Cty Rd 81
City: Maple Grove
State: MN Zip: 55369 Phone: 763-428-3677
Contact: Linda Locke Email: permit@heatcool2.com
Permit Type
RESIDENTIAL
✓ Furnace
Air Conditioner
Air Exchanger
Heat Pump
Other
Type of Work
New ✓ Replacement Additional
Alteration
Demolition
Description of work: Replace Furnace
RESIDENTIAL FEES
$60.00 Minimum Add or alteration
to an existing unit, includes State Surcharge
includes State Surcharge
_ 61.00
- $
TOTAL FEE
$100.00 Residential New,
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on the City's website at www.cityofeagan.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 pet it, 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 requ s review and approval of plans.
xLinda Locke
Applicant's Printed Name
ppli ants Sig re
FOR OFFICE USE
Required inspections;
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