EA180311 - Plumbing - Single Fam - Issued Date 11/17/2022PERMIT
City of Eagan
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Permit Type:
Plumbing
3830 Pilot Knob Rd
Eagan, MN 55122
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Permit Number:
EAGAN
EA180311
(651) 675-5675
1111111111111111111111111111111111111 1111H
www.cityofeagan.com
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Date Issued:
11/17/2022
Site Address: 4535
Villa Dr
Lot: 2 Block: 01
Addition: Cedar Villas
PID: 10-16900-01-020
Use:
* 10-16900-0
1-020*
Description:
Sub Type: Single Fain
Work Type: Replace
Description: abandon hot/cold water lines run new hot and cold
water lines
Meter Size Meter Tvoe
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:
Erickson Plumbing Heating Air Electrical Cedar VIllas LP
1471 92nd Lane NE 1600 Hopkins Crossroads
Blaine MN 55449 Minneapolis MN 55305
(763) 7834545
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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eeEAGAN'�
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinainsoectionsO-citvofeaoan.com
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For Office Use I
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Permit #: I' I
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Date Received: I
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Staff:
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RESIDENTIAL
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RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 11/11/2022 Site Address: 4535 Villa V400 Unit #: B
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Applicant is: ❑ Owner ® Contractor
Name: Image. Express
Address: PO Box 149182 city: Austin
H&nebwner
State: TX zip: 78714 Phone: 952-456-12 9 Email:
Type Of Work
— New _ Replacement Repair Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
lines above ground toiexisting fixtures
Tankless Water Heold Water
p
Lawn Irrigation (_ RPZ / PVB)
Standard Water Heater
DeoCtiptiopf
Water Softener 1 Add plumbing Fixtures Main / Lower Level)
Description:
Septic System
Connection to City Water from Well
New Abandonment
Company: Erickson Plumbing Heating Air Electrical Contact: Alex
Plumbing-, '
Address: 1471 92nd Lane NE City: Blaine
.Contractor
State: MN Zip: 55449 Phone: 763-783-4545 Email: AJindraWhearterickson.com
License #: PC643399 Expiration Date: 12/31/2023
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) 4540002 or wwwigoaherstateonecall.oro 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,nd 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 Alex Andra X
Applicant's Printed Name Aaplicant's Signatur
FOROFFICE,LISE
Reviewed By: Date:
Meter Size (if applicable):