unit 104EAGAN
3830 PILOT KNOB ROAD ( EAGAN, MN 55122-1810
(651) 675-5675 ( FAX: (651) 675-5694
Email: buildinginspections@citypfeagan com
For Office Us/99V9'(z
ee Permit #:
Permit Fee: 60 ' O?)
Date Received:
Staff:
2021 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 6/15/2021
Tenant:
Site Address: 1530 Thomas Lk Pt Rd #104
Suite #:
Resident/Owner
Name: Nationwide Housing Corp Phone: 763-231-5280
Address / City / zip: 6200 Shingle Creek Pkwy #300 Brooklyn Center 55430
Name: Heating & Cooling Two, Inc.
License #:
MB003401
Address: 18550 Cty Rd 81 City: Maple Grove
State: MN Zip: 55369 Phone: 763-428-3677
Contact: Linda Locke Email: permit@heatcool2.com
Permit Type
RESIDENTIAL
Fumace
✓ Air Conditioner
Air Exchanger
Heat Pump
Other
Type of'Work
New ✓ Replacement Additional Alteration Demolition
Description of work: Replace Air Conditioner
RESIDENTIAL FEES
$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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I hereby acknowledge that this information is complete and accurate; that the work will be in co friPnance 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 + staart 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 plan
)(Linda Locke
Applicant's Printed Name
fr L.
"Appli :nt's Sign .tU e
FOR OFFICE USE
Required Inspections,.
Underground -
Reviewed By:
n Air Test Gas; Service Test In-floor;Hes