EA180354 - Sewer & Water - Residential - Issued Date 11/21/2022 PERMIT
City of Eagan , , Permit Type: Sewer& Water
3830 Pilot Knob Rd `.` '.� Permit Number: EA180354
Eagan,MN 55122
EAGAN
(651)675-5675 111111111111
www.cityofeagan.com * E R 1 8 0 3 5 4
Date Issued: 11/21/2022
Site Address: 1327 Carlson Lake Lane
Lot: 002 Block: 004 Addition: Wilderness Run 4th
PID: 10-84353-04-020
Use: * 1 0 — 8 4 3 5 3 — 0 4 — 0 2 0
Description:
Sub Type: Residential
Work Type: Sewer Only
Description: Repair
Meter Size Meter lype 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:
Krueger Excavating Inc Nabil Nadim Madani
P.O.Box 729 1327 Carlson Lake Ln
Prior Lake MN 55372 Eagan MN 55123
(952)447-8335
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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Permit
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2022 SEWER & WATER PERMIT
cat®: 11-21.22 s 1327 Carlson Lake LN
Pro Name:Nabil Madan) Phone: 952-465-9939
psKY
Owner
Addr�/Ctty/Mp 1327 Carlson Lake LN
Krueger Excavatio Inc
Name. License M
ciDtlll'
Address/City/Zip:
7616 180th st e; Prior Lake MN 55372
Phone: 952-292-0154 Email: tract'@kruegerexcavating.com
Pipelaver Training Certification#: or Master Plumber License#:
Property Use. Type of Service: Type of Work:
0 RatidenHel ❑'Sewer&Water; ❑New
❑ Commercial la Sewer Only 0 Repair,Desorlptlon:
❑ Public Facility ❑Water Only ❑ Disconnect
❑ 1 understand that new water connections require a separate Plumbing Permit and associated meter fees.
I hereby admowledgp 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 nota parmIL but only an application for a permit,and work Is not to Mart without a permit;that the Work will be In accordance with the'
Approved pl In the case of work which requires a review and approval of plats.
ApplfcartYs Prf ted Nampa i can a lure
B
- — irUR GiiGE E`C3PlLY -
Requlyd Ihspeckilon , �setar clnly
rrt($74=tt sr i ika ' E
i olr Test
1 WeterPt($7400} 1avadrbd Test
5 W i�2epeitasconnect($74:0f)) Sel�rer i irli Tafipvlsad
Sewer lateral Verify Meter Configuration
f Sewer trunk Water Only
Water supply&storage Conductivity Test
Water Itgtai Hydrostatic Test
50/aAc unit} � u1 Mand Alpe Ir�serik}c ,,
Mpt Oiih, `$AC($2,485J5AC;tlrlit}
T astment Plant($1,066.56)SAc unit),°
State Surcharge , $1.00 Additlapall i$equtto ants:
Total: City R-O-W Perm t
�CouiAy R-Q-W Pormlt
' Pit#IMpI!�f►errni� �
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3830 PILOT KNOB ROAD i EAGAN,MN 5517.2
(651)675-5675(FAX:(651)675-5694 buitdinninsggogns Mcitvofeaaan.com
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