unit 311 f---------- -----
r e I For Office Use -- 1
i 0 I
M f t I Permit M J
♦�.• ww„sEAGAN 1 I I
Permit Fee:
I
1 Date Received: E
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX:(651)675-5694 Staff: j
Email:buildinginspectionsO-cityofeaoan.cam ------------------
2022 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 7!812022 Site Address: 1540 Thomas Lk Pt Rd #311
Tenant: Suite#:
Thomas Lake Point Apts LLC Nationwide Housing Corp 763-231-5280
1es�"dt3n#tCwtter Name: Phone:
0��` " �:�� a Address Clty Zlp: 3410 Winnetka Ave N Suite A New Hope MN 55417
Heating & Cooling Two, Inc. MB003401
Name: License#:
Contras#or
Address: 18550 Cty Rd 81 City: Maple Grove
State: MN zip: 55369 Phone: 763-428-3677
n ur3 �
Linda Lockepermit@heatcoo]2.com
contact: Email:
RESIDENTIAL
Furnace
,! ✓ Air Conditioner
�8f til `'�'� 18
Air Exchanger
"'W,
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Heat Pump
�a lig,
Other
Y� New ✓ Replacement Additional Alteration Demolition
yT eo Wdrk
� Replace Air Conditioner
Description of work: p
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
www.citYofeaganwcomisubscribe.
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinance .p nd codes of the City e
Eagan;that I understand this is not a permit,but only an application for a permit,and work Is not to sta hout a permit:that arork will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
��___ _.
XLinda Locke
Applicant's Printed Name Applica 's Signature
FOR OFFICE
W i
Required Ins�eaOQns - Revie�red sy: E Date
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