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EA180268 - Sewer & Water - Residential - Issued Date 11/15/2022 PERMIT City of Eagan Permit"': Sewer& Water 3830 Pilot Knob Rd Permit Number: EA180268 E ��'• -�-� Eagan,MN 55122 •••• •- (651)675-5675 ^� www.cityofeagan.com * E R 1 8 0 2 6 8 * Date Issued: 11/15/2022 Site Address: 4295 Sunrise Rd Lot: 5 Block: 2 Addition: Sun Cliff 1st PID: 10-72975-02-050 RNEWFUMMEMIMM Use: * 10 - 72975 - 02 - 050 * Description: Sub Type: Residential Work Type: Repair Description: spot repair up to 10'to repair sanitary sewer Meter Size Meter Tyne Manufacturer Serial Number Remote Number Line Size Comments: Please call Utilities at(651)675-5200 for water turn ons,shut offs and meters. Please call Engineering at(651)675-5646 to schedule inspections. Fee Summary: Permit Fee-Sewer $74.00 6201.4532 Surcharge-Fixed $1.00 9001.2195 Total: $75.00 Contractor: - Applicant - Owner: Roto Rooter Karl Ah Pook 14530 27th Ave N 1516 Oakbrooke Ln Plymouth MN 55447 Eagan MN 55122 (763)519-3977 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 ----------------- For Office Use � I a, # l Permit#:Ah G A EA U I jPermit Fee:. Date Received: i LM X1/15 Staff: 2022 SEINER WATER PERMIT Date: ! i 5'��?oZ Site Address: �.. .,... 0-Ict 5 tc h F l SProperty I ii Owner Name: i't 1��a6 Phone: 19- 7 q3 3 Address/City/Zip: Ll qc ]�j S u_i1 h t S e 'Ipz- , , ecu;c0- Vr ; Name: License#: P (g{9 S Address/City/Zip: Jr t.� �"2 +� L j �.� Contractor - �� 11 �c) h ' Phona:l(d 3-5 l`�c3`i�7 Email: fir ' t0 YYLbe r%c O Q-Qs c4 on, P Pipelayer Training Certification#: or Master Plumber License#: 1 mbQ 0 Property Use: Type of Service € Type of Work: Residential ❑ Sewer&Water ❑ New s a t ❑ Commercial Sewer Oni iy jD14-0 ❑ Public Facility Water Only ❑ Disconnect P 'r� ``rte. S tQ a Ir-- ❑ I understand that new water connections require a separate Plumbing Permit and associated meter fees. 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 apermit,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 whichrequires a review and approval of plans. 40 x Applicant's Printed Name Applicant's Signature FOR OFFICE USE ONLY Fees: Required Inspections: Sewer Only Sewer Permit($74.00) 14- Sewer Air Test Water Permit($74.00) Mandrel Test S&W Repair/Disconnect($74.00) Sewer Lines Televised Sewer lateral Verify Meter Configuration Sewer trunk Water Only Water supply&storage Conductivity Test Water lateral Hydrostatic Test Water trunk Bacteria Test City SAG($131.50/SAC unit) Standpipe Inspection Met Council SAC($2,485/SAC unit) Wet Tap Treatment Plant($1,065.50/SAC unit) State Surcharge $1.00 Additional Requirements: Total City R-O-W Permit CountyR-O•W Permit Plumbing Permit PRV Required 3830 PILOT KNOB ROAD I EAGAN, MN.55122 (651)675-5675(FAX:(651)675-5694 buildinainspectionsgDcityofeagan com If you have a hearing or speech disability,contact us through your preferred telecommunications relay service.