1510 Thomas Lake Pt - Unit 204r
E
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I FAX: (651) 675-5694
Email: buildinginspections ci ofeagan.com
For Office Use �
Permit #: (�/ / j
0
Permit Fee: J ' v
Date Received:
Staff:
2021 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 6/10/2021
Tenant:
Site Address: 1510 Thomas Lake Pt Rd #204
Suite #:
Resident/Owner
Type of Work
Name: Nationwide Housing Corp Phone: 763-231-5280
Address / City / Zip: 6200 Shingle Creek Pkwy #300 Brooklyn Center 55430
Name:Heating & Cooling Two, Inc.
Licensers: MB003401
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
V Air Conditioner
Air Exchanger
Heat Pump
Other
New V Replacement Additional Alteration Demolition
Description of work: Replace Air Conditioner
i RESIDENTIAL FEES
I$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
1 $100.00 Residential New, includes State Surcharge
_$
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 this is not a permit, but only an application for a permit, and work is not to stajt 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
X
Applicfant s Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In -floor Heat Final