unit 109EAGA
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810
(651) 675-5675 i FAX: (651) 675-5694
Email: buildinginspections a(7cityofeagan.corn
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For Office Use
PermC
Permit #: �w r ` _/
Permit Fee: (f " 0 0
Date Received:
Staff:
2021 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 6/15/2021 Site Address: 1510 Thomas Lk Pt Rd #109
Tenant:
Resident/Owner
Permit Type
Name: Nationwide Housing Corp Phone:
Suite #:
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
RESIDENTIAL
Fumace
✓ Air Conditioner
Air Exchanger
Heat Pump
Other
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
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
wm.cityofeaoan.com/subscribe.
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 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