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EA180418 - Plumbing - Fixtures - Issued Date 12/05/2022I' Wid I V I City of Eagan , Permit Type: Plumbing 3830 Pilot Knob Rd , ,,, , , I, Permit Number: EA180418 Eagan, MN 55122 •--- •--• EAGAN (651) 675-5675 111111111111 www.cityofeagan.com * E R 1 8 0 4 1 8 Date Issued: 12/5/2022 Site Address: 4053 Meadowlark Curve Lot: 053 Block: 04 Addition: River Bluff Town Homes PID: 10-64300-04-053 Use: *10-64300-04-053* Description: Sub Type: Fixtures Work Type: Replace Description: Meter Size Meter ape 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: Minnesota Rusco Anita M Nuhring 5010 Hwy 169 N 4053 Meadowlark Cury Brooklyn Park MN 55428 Eagan MN 55122 (952)935-9669 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 ./i -A /2.7ge!-t/ ssued B :Signature ---------------- For Office Use Permit #: EAGAN �aow o®a/ �#►1 ,, I I Permit Fee: aCEIVE Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I (651) 675-56751 FAX: (651) 675-5694�� Staff: j buildinainsaections(cDcitvofeaaan.com-----------------J IT RESIDENTIAL PLUMAPPLICATION Date: 1 1 /28/22 Slte Address: 4053 Meadowlark Curve Unit #: Applicant is: ❑ Owner 14 Contractor Name: Anita Nuhring Address: 4053 Meadowlark Curve Cit,: Eagan Homeowner State: MN zi : 55122 Phone: 612-986-4842 Email: nuhring@msn.com Type of Work — New V(Replacement _Repair _Rebuild _ Modify Space _ Work in R.O.W. Description of work: Direct replacement of existing shower wet space, wall surround, and plumbing fixtures. Tankless Water Heater Standard Water Heater Lawn Irrigation (_ RPZ / PVB) V Add Plumbing Fixtures Main / Lower Level) Description (V( Water Softener Description: Replace bathtub Septic System New Abandonment Connection to City Water from Well Company: MN Rusco Contact: Kelli Gugisberg Plumbing Address: 5010 Hwy 169 N City: New Hope Contractor State: Zip.. Phone: MN 55428 952-935-966 Email. kelli@minnesotarusco.com . minnesotarusco.com License #: PC749301 Expiration Date: 12/31/23 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 DICT. Contact Gopher State One Call at (651) 454-0002 or www.nooherstateonecall.om 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, 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. x Kelli Gugisberg X Ke& Applicant's Printed Name Applicant's 6WIgddtum FOR OFFICE USE Reviewed'; By: DatE3: Muer Size ,(If _appl3t{able}: IRequired Inspections: Under C3roland Rough -In Air Test Gas Test Manometer Final