unit 103r
EAGAN
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810
(651) 675-5675 l FAX: (651) 675-5694
Email: buiidingnsaections@ci yofeagan,com
For Office Use C/
Permit #: / t( C% y:So
Permit Fee: 60 .00
Date Received:
Staff:
2021 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 5/27/2021
Site Address: 1520 Thomas Lake Pt Rd - #103
Tenant: Suite #:
Resident/Owner
Name: National Housing Corp Phone: 763-231-5280
Address / City / zip: 6200 Shingle Creek Pkwy #300
J
Contractor
Name: Heaing & Cooling Two, Inc. License #: MB003401
Address: 18550 Cty Rd 81
State: MN Zip: 55369
Contact: Linda Locke
City: Maple Grove
Phone: 763-428-3677
Email: permit@heatcool2.com
Permit Type
RESIDENTIAL
Furnace
Air Conditioner
Air Exchanger
Heat Pump
Other
Type of War
New ✓ Replacement Additional Alteration Demolition
Description of work: Replace Air Conditioner
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
_$
TOTAL FEE
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.citvofeactan.com/subscribe.
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 sta 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.
)(Linda Locke
Applicant's Printed Name
FOR OFFICE USE
Required Inspections: Reviewed By:
Underground lough In Airiest Gas ServiceTest - In -floor Heat
t, L#p•lic:nt's Signafwe---