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EA180541 - Plumbing - Single Fam - Issued Date 12/06/2022 PERMIT City of Eagan d , , Permit Type: Plumbing 3830 Pilot Knob Rd ��.;� 8;.;, Permit Number: EA180541 Eagan,MN 55122 EAGAN (651)675-5675 111111111111 www.cityofeagan.com * E R 1 8 0 5 4 1 Date Issued: 12/6/2022 Site Address: 4420 Cinnamon Ridge Cir Lot: 041 Block: 05 Addition: Cinnamon Ridge 3rd PID: 10-17402-05-041 Use: * 10 - 17402 - 05 - 041 * Description: Sub Type: Single Fam Work Type: Replace Description: tub to shower installation R&R toilet and vanity Meter Size Meter Rpe 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: Modern Plumbing LLC Minh Le 16373 226th Ave NW 4420 Cinnamon Ridge Cir Elk River MN 55330 Saint Paul MN 55122--239 (763)639-1632 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 g------------------ is A .9AM I Fbm2a 180541 i AFIL 1 m®.t W®irEIA%JAN D 1 1=as: $60 0 ® a 12/6/22 MU PLOT KNOB ROAD I EAGAK MIN 6511810 � 1 (661)6754M l FAX;(651) e 1 a RESIDENTIAL PLUMBING PERMIT APPLICATION 12/5/2022Sft 4420 cinnamon rldge.drelem eagan min Axmmtb: nom 6e ' 44cjr Addle= .2®d cue n rrarr .55122Shft :6513994334 Tye l�f ela New ✓Repacurnalft —Repair —RekM — —Wa*m R.0W lip. tub to shower installation R&R to toilet and vanity of VMft 6 Lame kbfim(—RPZ PVB)" t wam� Add Pkwthq Faftm�✓ ® i IL j shower base COMMOCIM NOW Abandonmeod �c: ►ww� Plumbhv, LLC VINCE rAMbMt PI p 16373 226TH AW W ELIC RIVE dt 1 z f1 Skb. 563 7636 391632 VINBC ODERNPL .CO pP prnOW740 12!31/2022 aESML -SIG= Wo PAsUwM®r Cammmftn bays .P I Mudwip) 5" Mter a Wgftr eoi®�gft I or "Ith WN S and aft&Mftmw) Turf.FESS S. CM.LBWDMYWM a ara ftftQmGdagP51) w two MMY i amage. Contact Gopher State One Cell 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 oro ances and codes of the City of Eagan;that 1 understand this is not a permit, but only an application for a permit, and work Is not to start thouir' permit;that the work will be in accordance with the approved plan In the case of work which requires a review and approval ans. ,VINCENT ANDREM x Applicant's Printed Name Appllcarft Signature Daft ftwkwad ft,. FOR ;[ -----