EA180276 - Sewer & Water - Residential - Issued Date 11/16/2022 PERMIT
City of Eagan , U'Af
Permit Type: Sewer& Water
3830 Pilot Knob Rd `. : Permit Number: EA180276
Eagan,MN 55122 •--• ••-• EAGAN
111111111111
(651)675-5675
www.cityofeagan.com * E R 1 8 0 2 7 6
Date Issued: 11/16/2022
Site Address: 4561 Cliff Ridge Ct
Lot: 10 Block: 2 Addition: Cliff Ridge
PID: 10-17800-02-100
Use: * 10 - 17800 - 02 - 100 �k
Description:
Sub Type: Residential
Work Type: Repair
Description: install outside cleanouts
Meter Size Meter a Manufacturer Serial Number Remote Number Line Size
Comments: Please call Utilities at(651)675-5200 for water tum 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:
Mr Rooter Plumbing of the Twin Cities Jennifer Durivage
5155 East River Road,Suite 418 4561 Cliff Ridge Ct
Fridley MN 55421 Eagan MN 55123
(763)551-0555
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
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® I For Office Use
*e®Aq* + w�� AL Permit#: 180276
I Permit Fee:
EAGAN I
I
IDate Received::;
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2022 SEWER & WATER PERMIT
Date: 11/15/2022 Site Address: 4561 cliff ridge ct
property Name:Jen durivage Phone: 415-954-2191
ovlmer 4561 cliff ridge ct
Address/City/Zip:
Name: mr.Rooter plumbing License#: PC735337
Contractor
Address/City/Zip: 5155 east river rd Ste 418
Phone:763-200-1667 Email: dispatch@mrrootermn.com
Pipelayer Training Certification# or Master Plumber License#:Pm06591
Property Use: Type of Service: Type of Work:
® Residential ❑ Sewer&Water ❑ New
❑ Commercial O Sewer Only Repair,Description: install outside cleanouts
❑ Public Facility ❑Water Only ❑ Disconnect
0 1 understand that new water connections require a separate Plumbing Permit and associated meter fees.
1 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.
XQoL-er� 2c,ati ( X
Applicant's Printed Name Ap Iicant's Sign re
iFOR d FFIcE USE dWLY '.
Fees; Required lnepectionet SewerOnly
Sewer Permit($74.00) Sewer Air Test
Water Permit($74.00) Mandrel Test
G&W Repairl0l'connect($74.00) Sewer Lines Televised
Sewer lateral Verify Meter Configuration
Set,Yer1runk ' Weter Oniy
Water supply&storage Conductivity Test
Water lateral Hydrostatic Test
Water trunk Bacteria Test
City SAC($131.50/SAC unit) Stand Pipe Inspection
Met Council SAC.($2,485/SAC unit) Wet Tap
Treatment Plant($1,065.50/SAC unit)
State 8urcharg $1.00. : Addtoonat Requirements:
Total- city R-04V Pecmk
t,ountyR-O {l Eermlt
Plumbing Permit
PRV Required
3830 PILOT KNOB ROAD I FAOAN,MN 55122
(651)675-5675'1 FAX:(651)675-5694 buildinainsnections(&—citvofeagan.com
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