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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 $100.00 Residential New, includes State Surcharge You may subscribe to receive an electronic notification from the City ,,ww.cityofeagan.comisubscribe. I hereby acknowledge that this information is complete and accurate: Eagan; that I understand this is not a permit, but only an application for with the approved plan in the case of work which requires a review and ZiAfe34 Applicant's Printed Name FOR OFFICE USE Required Inspections- Underground Rough In Air Test Gas Service Test in floor Heat — State Surcharge _$ 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