EA180188 - Plumbing - Fixtures - Issued Date 11/09/2022 PERMIT
City of Eagan Permit ape: Plumbing
3830 Pilot Knob Rd Permit Number: EA180188
Eagan,MN 55122 EAGAN
(651)675-5675 ^�
www.cityofeagan.com * E R 1 8 0 1 8 8
Date Issued: 11/9/2022
Site Address: 4366 Sequoia Dr
Lot: 8 Block: 6 Addition: Evergreen Park
PID: 10-24880-06-080
Use: * 10 - 24880 - 06 - 080 *
Description:
Sub Type: Fixtures
Work Type: Replace
Description:
Meter Size Meter lype 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: - Applicant - Owner:
Woodbury Mechanical Inc Kelli Ann Benner
1988 Stanich Ct 4366 Sequoia Dr
Maplewood MN 55109 Saint Paul MN 55122--182
(651)777-7950
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 sued E3-f-Signature
-----------------
For Office Use
�� I �• 0 I Permit#: 190 8 Lam— I
EAGAN
I Permit Fee:
I
Date Received: #26
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-56751 FAX: (651)675-5694 Staff.. y V
buildinainsaections0 itvofeaoan.com -----------------
Q2022 RESIDENTIAL /P/LUMBING PERMIT APPLICATION
Date:d/ 7 �' Site Address:
Tenant: Suite M
Resident/Owner Name: Phone:
Address/City/Zip:
Name: 11411
/ License#:
Contractor Address: ! City:
State: 114-, , Zip: 1S76 Phone: k`/- 7Z7-72S-,:2
(OSS -1�5 Q9S
Contact:=en Email:tl4 1-f 4 6:Z' IV S-2 6e CoN C/VS?o
Type of Work —
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
Description Water Softener Add Plumbing Fixtures X Main/—Lower Level)
Description: _Ag14g, T , .7-Z A (
Septic System
New Abandonment Connection to City Water from Well
RESIDENTIAL FEES
$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 or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+$300 for Meter and $205 for Radio Read =$565
*Sewer&Water Permit also required for connection charges
TOTAL FEES$
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.citvofeagan.com/subscdbe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)4540002 or www.00r)herstateonecall.ora for protection against underground utility
damage. Contact Gopher State One Call 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 I 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.
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related items: Meter Size Radio Read Manometer Staff:
3830 PILOT KNOB ROAD I EAGAN,MN 55122
(651)675-56751 FAX: (651)675-5694 buildinginspectionsCilcitvofeagan.com
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