unit 305\ \ .\ \,
MWI
3830 P I LOT KNOB ROAD I EAGAN, MN 55122-1 B 10
(6,51) 675-5675 FAX (6,51) 675-5694
Ernaill, b C
Date: 6/15/2022
Tenant:
Resider
Conti
Perm!
TY Pe1:0
i7ill III Illi��Il
Site Address: 1510 Thomas Lk Pt Rd #305
.......... .........
Fumyce
Air Conditioner
Air Exchanger
Heat Ptnnp
Other
----------------
For Of Use
#:
I Perm.
I {
I Permit Fee:
Date Received,
— — — — — — — — — — --- — — — —
Suite #:
New 60000 Replacement Additional Alt . eration Demolition
Replacy Air Conditioner
Description of work,
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 frorn. the
., City of proposed ordinances by signing u. for an ernall update on the City's website, at
P
I hereby acknowledge that (his Informotion is complete and accurate, that the: work will b,,e� In confomj.,jp1C!e with the ordinances and codes of the City of
Eagan; that I understand this is not a perrrtit, but only an application for a permit, and work is not tostart, a permit* that the wo III be in accordance
hQLA c
with the approved plan in the case of work which requires a review and approval, of plat t
\,- 77
,-Linda Locke
Applicant's Printed Name
Sign
Required In
.spec ionsi:
Date:
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