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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 r--------------- i For Office Use rr Permit EC I ;E ; I 1 Parmlt.Fee. �. , E,, 5. f. G,Al 2,022 POW R+e ived: 6Y: t l I statfi: I I— ...� 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� � ., _ . x n --_ 3830 PILOT KNOB ROAD i EAGAN,MN 5517.2 (651)675-5675(FAX:(651)675-5694 buitdinninsggogns Mcitvofeaaan.com If you have a hearing or speech disability,contact us through your preferred telecommunications relay service.