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EA179992 - Plumbing - Single Fam - Issued Date 11/07/2022 PERMIT City of Eagan 4 Permit Type: Plumbing F 3830 Pilot Knob Rd �`., + ►,.�, Permit Number: EA179992 Eagan,MN 55122 EAGAN (651)675-5675 111111111111 www.cityofeagan.com * E R 1 7 9 9 9 2 Date Issued: 11/7/2022 Site Address: 1025 Diffley Rd Lot: 2 Block: 1 Addition: Kirchner Plaza PID: 10-42100-01-020 Use: * 10 - 42100 - 01 - 020 * Description: Sub Type: Single Fain Work Type: Replace Description: add plumbing fixtures and water softner Meter Size Meter Tyne Manufacturer Serial Number Remote Number Line Size Comments: Fee Summary: PL-Permit Fee $59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 Total: $60.00 Contractor: Owner: - Applicant - Samuel W&Melba R Johnson 1025 Diffley Rd Saint Paul MN 55123-450 This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature ssued B : Signature ----------------, I For Office Use I I Permit#: 179992 •..• •..• CEIVE 1 i Permit Fee: $60 Y I I OCT 3 1 2022 1 Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I (651)675-5675 1 FAX: (651)675-5694 �Y� I Staff: I buildinginsoections -citvofeagan.com ------------------ RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 0 / �a Site Address: 10 a 5 i9► *l e y Rd mn SS/,7Jnit#: Applicant Is: Owner ❑ Contractor Name: M 00101 k ► G w s le)� Address: l ( City: R State: M Zi S �� Phone:Wq Sg 7P 00W Email: /'ot!tit 01,7 i�• Y x�?�t��Y t v6 New x Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: Tankless Water Heater Lawn Irrigation(_RPZ/ PVB) Standard Water Heater Add Plumbing Fixtures Main/X Lower Level) Water Softener _ ; : . Description: re v, e X►f f%y �ra f�r� 4<x ' Septic System New _Abandonment Connection to City Water from Well Company: ( - Contact: Address: City: State: Zip: Phone: Email: License#: Expiration Date: RESIDENTIAL FEES $100.00 New Residential or Connection to City Water(Includes State Surcharge) $60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 New fixtures,adding,altering,or removing piping(includes State Surcharge) $115.00 New Septic System(includes County fee and State Surcharge) $60.00 Septic System Abandonment(includes State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.gooherstateonecall.org for protection against underground utility damage. Contact Gopher State One Cell 48 hours before you intend to dig to receive locates of underground utilities. 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 1 understand this Is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x R a tM 01 Vt iA T x Applicant's Printed Name Applicant's Signature ti9 k' ;. .P'.r. ., I" ,' . -t f i ,..a. f icy..-h ry $...tai•i,.. ...I:i+«�.t. r+b"v�+. 'l.fF r' t� +r`� i.: :E° 1 � r. �N�r .a.:. d• � fr�<. � ,,,,. aj�' � r. a& t a Ali a , m.s tt R r ,,s' u.�+ 7 +'�P.: r . �*� �� { , �: _ 1 r�'"..w�x� �.� dTt K{�,.� �:��.�'�},'�y...��Y1J�i�p`{„��u��;4.r-si• sL7in r"op�'v�(>yA.;"�,+t�N's"�'•?�'Y'_fiN°rdt.�°""'r -d'f '�.4�"f 1y} P•�S'`�I��S�y. g.+.'<•. r.�`t`t`;; '-S?. a c ;aY�, h '�y+�`tt�'u ��' ,a� 'f�S a_v.�,,��'ry}r „�S;!d.a�'`��. �.°n' y�` a .:i h4 fT i ; �!y,.:�` c a���.e'��i n r'��s s ' i'�' :. t•¢"�� r��`4�+i.&p'r {d���5 a`<. ,.�,a5r..f a i� .3r R',5:��,}Y' r•,��'k`a v�• '�' : ..y,5' 'ra �t�r! Y "a'K'41��:M rt�'sa'x.1a JY.} ,�?+''�✓�Y a+ter � 5"R-d �>K 3' 4 �'. � �t 7.,+. ,f'.bn�{�',���k� r � "'j$q� ����Cr43 to°e.�%o�,J�j�t���'. .,� .a,,,e'�L'•'�,gf�; ?fi�`K;!(•��c �Ryyn } 1n �,;t.: .`1,.a�.,�....t�Y "fir 6, k �w n% y 6�, �J .:l