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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 Ill1�— ejm011-ed, y10 an�rwAa viol pbom& ---------------- ® I For Office Use *e®Aq* + w�� AL Permit#: 180276 I Permit Fee: EAGAN I I IDate Received::; I I S— --------- j 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 If you have a hearing or speech disability,contact us through your preferred telecommunications relay service.