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Permit#: Y b 1 I
EAGAN
IPermit Feer t�,-q 1 I
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Date Received: I
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 l 1
(651)675-56751 FAX:(651)675-5694 I Staff: i
Email httiidin
2022 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 62/2022 Site Address: 1510 Thomas Lake Pt Rd #103
Tenant:
Suite#:
R Name: Thomas Lake Point Apts LLC Nationwide Housing Corp Phone: 763-231-5280
Resh
Hope MN 55417
3410 Winnetka Ave N Suite A New Ho
Address/City/ZIP: p
Name: Heating & Cooling Two, Ina MBOQ3401 I
License#:
18550 CtY Rd 81 c;c Maple Grove
M„Co Address: y
MN 55369 763-428-3677
State
r
Zip: Phone:
Contact: Linda Locke Email: permit@heatcool2.com
RESIDENTIAL
Furnace
.' ✓ Air'Conditioner
Air Exchanger
Heat Pump
_Other
k � New Replacement Additional Alteration Demolition 1
Description of work: Replace Air Conditioner
ky, #
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
unv_w,ctycsf�agan.cornlsubs+cribe.
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 fora permit,and work is not to start without a permit;tha he work will be in accordance
with the approved plan In the case of work which requires a review and approval of plans:
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Applicant's Printed Name Appiic nVs Slgnature "
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