unit 208r
For Office Use
EAGA
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I FAX: (651) 675-5694
Email: buildinginspections o cit ofeagan.com
Permit #:
Permit Fee:
Date Received:
Staff:
se 7
J
2021 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 6/2/2021 Site Address: 1510 Thomas Lake Pt Rd - #208
Tenant:
Suite #:
Name:
Nationwide Housing Corp Phone: 763-231-5280
Address / City / Zip: 6200 Shingle Creek Pkwy #300 Brooklyn Center 55430
License #: MB003401
Name: Heating & Cooling Two, Inc.
Address: 18550 Cty Rd 81
City: Maple Grove
State: MN Zip: 55369
Phone: 763-428-3677
Contact: Linda Locke Email: permit@heatcool2.com
RESIDENTIAL
Furnace
✓ Air Conditioner
Air Exchanger
Heat Pump
Other
New ✓ Replacement Additional
Description of work: Replace Air Conditioner
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes
$100.00 Residential New, includes State Surcharge
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I hereby acknowledge that this information is complete and accurate:
Eagan; that I understand this is not a permit, but only an application for
with the approved plan in the case of work which requires a review and
ZiAfe34
Applicant's Printed Name
FOR OFFICE USE
Required Inspections-
Underground Rough In Air Test Gas Service Test in floor Heat
—
State Surcharge
_$
Alteration
of proposed ordinances by signing up
that the work will be in conformanc
a permit, and work is not to start w
approval of plans.
cant's ignature
Reviewed By:
Demolition
TOTAL FEE
for an email update on the City's website at
with the ordinances and codes of the City of
t a permit; that the work will be in accordance
Final