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unit 217EAGA 3830 PILOT KNOB ROAD I EAGAN. MN 55122-1810 (651) 675-5675 ( FAX; (651) 675-5694 Email: buildinginspections.a@cityofeagan_com r For Office Use Permit ##: /6��s� ‘0 • b 0 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 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 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;