unit 204EAGAN
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810
(651) 675-5675 l TDD: (651) 454-8535 l FAX: (651) 675-5694
Email: buildinginspectionsOcityofeagan.com
Commercial Plan Submittal: eplans(a�citvofeaoan.com
r
For Office Use
Permit #:
Permit Fee: 0.0C3CC
Date Received:
Staff:
2021 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 2/9/2021 Site Address: 1530 Thomas Lake Point Rd #204
Tenant:
Suite #:
J
ResidentlOwher
Name: Nationwide Housing Corp Phone: 763-231-5280
Address / City / zip: 6200 Shingle Creek Pkwy #300 Brooklyn Center 55430
Contractor
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@heatcoo12.com
Permit Type
RESIDENTIAL
✓ Fumace
Air Conditioner
Air Exchanger
_
Heat Pump
_
Other
Type o,work.
New ✓ Replacement Additional Alteration Demolition
Replace Furnace
Description of work: p
RESIDENTIAL FEES
$60.00 Minimum Add or alteration
to an existing unit, includes State Surcharge
includes State Surcharge = $ TOTAL FEE
$100.00 Residential New,
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on the City's website at www.citvofeaoan.com/subscribe.
I hereby acknowledge that this information is complete and accurate; that the work will be ' conformance with the ordinances and codes of
the City of Eagan; that I understand this is not a permit, but only an apication for a : - • 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 wo which re• • - a review and proval plans.
)(Linda Locke
Applicant's Printed Name
FOR OFFICE USE
Required Inspections:
rg g G,as'Service Test . in r:Heat Final'
l)nde round, Rou h In Air Test . � :.
Appli ant's Signature
Reviewed fy