unit 319EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694
Email: buildinginspectionSt§cityofeagan.corn
Commercial Plan Submittal: eolansecitvofeagan.com
For Office Use
Permit #:
Permit Fee: 60
Date Received:
Staff:
2021 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 2/9/2021
Site Address: 1530 Thomas Lake Point Rd #319
Tenant:
Suite #:
Name: Nationwide Housing Corp Phone: 763-231-5280
Address / City / Zip: 6200 Shingle Creek Pkwy #300 Brooklyn Center 55430
Name: Heating & Cooling Two, Inc
Address: 18550 Cty Rd 81
State: MN Zip: 55369
Contact Linda Locke
RESIDENTIAL
Fumace
Air Conditioner
Air Exchanger
Heat Pump
Other
License #: MB003401
City: Maple Grove
Phone: 763-428-3677 7‘3
Email: 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
$100.00 Residential New, includes State Surcharge
=$
TOTAL FEE
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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 thls is not a permit, but only an application for a perm nd 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 fowl Iew and pprovalP tans.
Linda Locke
Applicant's Printed Name