Unit 209Applicants Printed Name
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 i FAX: (651) 675-5694
Ernail: epildingtspections_@cityofeamn.com
cityofengan.com
r
For Office U
Permit #:
Permit Fee:
Date Received:
Staff:
2021 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: Site Address: 1530 Thomas Lk Pt Rd #209
Tenant: Suite #:
Name: Nationwide Housing Corp Phone: 763-237-5280
Contractor
Permit Type
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
— Furnace
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
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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 t understand this is not a permit, but only an application for a permit, and work is not to stwithout a permit; that the work will be in accordance
art
with the approved plan in the case of work which requires a review and approval of plans.
.Linda Locke ( el
pplic
's Signature
FOR OFFICE USE
Required inspectio
Underground
ough
Tee
errlewed By:
as ServiceTest ` In -floor Heat Final