unit 105% Yf
EAGANt,a *+w, ♦{ ,rl
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
Email: buiidinginsgections a-cityofeagan.com
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I For Office Use I
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I Permit #c �L --jL._
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1 Permit Fee:
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I Date Received:_ i
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Staff: I
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2022
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2022 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 5/16/2022
Tenant:
Site Address: 1530 Thomas Lake Pt Rd #105
Suite #:
Thoas Lake Point Apts LLC Nationwide Housing Corp 763-231-5280
Name:
Re, 41 n>xa
Phone:
Address l City !Zip: 3410 Winnetka Ave N Suite A New Hope 55417
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Name: Heating & Cooling Two, Inc. License #: MB003401
Address: 18550 Cty Rd 81 Maple Grove f
161
city:
state: MN zip; 55369 Phone: 763-428-3677
Linda Locke permit@heatcool2.com
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contact: Email:
RESIDENTIAL
Furnace
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✓ Air Conditioner
Permit fiyp�
Air Exchanger
Heat Pump
y.
Other
NoNj
✓
New Replacement Additional Alteration Demolition
Type
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
w,�Av,cityofeaqg!n.cornlsubstxit g.
I hereby acknowledge that this InformsUon is complete and accurate; that the work will be in co
Eagan; that I understand this is not permit, but only an application for a permit, and work is not to
with the approved pian in the case ol work which requires a review and approval of plans.
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with the ordinances and codes of the City of
wt a permit; that theork will be in accordance
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Applicant's Printed Name 4401111cartfs Signature