unit 217EAGA
3830 PILOT KNOB ROAD I EAGAN. MN 55122-1810
(651) 675-5675 ( FAX; (651) 675-5694
Email: buildinginspections.a@cityofeagan_com
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For Office Use
Permit ##: /6��s�
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Permit Fee:
Date Received:
Staff:
2021 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 6/11 /2021
Tenant:
Site Address: 1540 Thomas Lk Pt Rd #217
Resident/Owner
Type of Work
RESIDENTIAL FEES
Suite #:
Name: Nationwide Housing Corp Phone: 763-231-5280
Address / City / Zip: 554306200 Shin gle
Name: Heating & Cooling Two, Inc.
Creek Pkwy #300 Brooklyn Center
License#: MB003401
Address: 18550 Cty Rd 81 City: Maple Grove
State: MN Zip: 55369
Contact: Linda Locke
RESIDENTIAL
Furnace
✓ Air Conditioner
Air Exchanger
Heat Pump
Other
Phone: 763-428-3677
Email: permit@heatcoo12.com
New ✓ Replacement Additional Alteration Demolition
Description of work: Replace Air Conditioner
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge = $ TOTAL FEE
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twtnv.citvofeagan.com/subscribe.
I hereby acknowledge that this information is complete and accurate; that the work wit 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 start 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.
x
Applicant's Printed Name
x
Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By:
Underground Rough In Air Test Gas Service Test In -floor Heat Final
Date;