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EA180346 - Plumbing - Water Heater - Issued Date 11/21/2022City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.cityofeagan.com PERMIT Permit Type: Plumbing A /. A KI Permit Number: EA180346 * E R 1 8 0 3 4 6* Date Issued: 11/21/2022 Site Address: 1476 West Pond Rd Lot: 8 Block: 2 Addition: Kingswood Ponds 2nd PID: 10-42051-02-080 Use: * 10-4205 1-02-080* Description: Sub Type: Water Heater Work Type: Replace Description: Meter Size Meter Tyne 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: Good Guys Plumbing Gregory Scott Lein 2163 Bush Ave East 1476 Pond Rd W (952)239-7200 Eagan MN 55122 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 sued B . Signature a�•e i e Psi•E AG A N 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1610 (651) 676.66761 FAX: (861)876-M build twaTn.cturl r— -----------i For m" 1 Prsrmtt A: ur'6-. 1 1 j Porntt Fes �t 0 1 I i 1 6 9atYa Racatvad: 4 S 1 -----------------d RESIDENTIAL PLUMBING PERMIT APPLICATION RESIDIEWLAL FEES $1OOAC New P&sktwtd or Cannectim to City water Oncludes ate ) $000 water Heater, Water Softener, or Water beater aaW Softener (includes state Surcharge) $6&00 Lawn Irrigation (includes State Surffiunp) 11MOO Now fixtures. adding, altering. or removing piping (Includes State Sur targe) $115" New Swc System pncluates ltY tee and State S+ rte) $60.00 Seale System Abandonment (kecludca state surchatp) TOTAL FEES CALL BMW V4 CM. Contact Gopher State One CM at (651) 4544= m for pmteotlon agabtsi Ub* damage. (wtaat QopW Uft fire Can 4B ham beiaee yrna loved m dig to receive e taeafm9 of wwwwatow utwan. I hereby Madge beat tem Wo matoo m emnptets end acmam; tot Mte wore vAl be in cantarmance vdh the wd and modes at ft try Of Eagan, that I understend this Is not a panmit, but orb an aWtefion for a penin@, and work to mW to s Aa OW ft wade will be in ao�dance wflh ftapprovad pfm► in ftease at work wWrh a mv" and approval at ptaa i �i� FOR QFFgtdE IISL - ,- -. 000101 "A lay. mom St w (it appllcaft . _-- Reaulyd hiseedtlena. under Mound Rauch -In Ar Test _Gas Test - mrUnet" Faw