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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---