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EA180656 - Plumbing - Fixtures - Issued Date 12/13/2022PERMIT City of Eagan o , , Permit Type: Plumbing 3830 Pilot Knob Rd ,,.;� % ;: , Permit Number: EA180656 Eagan, MN 55122 EAGAN (651) 675-5675 111111111111 www.cityofeagan.com * E A 1 8 0 6 5 6 Date Issued: 12/13/2022 Site Address: 1179 Timbershore Lane Lot: 4 Block: 03 Addition: Timbershore 4th PID: 10-76503-03-040 Use: * 1 0— 7 6 5 0 3— 0 3— 0 4 0 Description: Sub Type: Fixtures Work Type: Alteration Description: Basement bathroom add. 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: Pure Plumbing LLC Property Renewal LLC 780 19th St 1179 Timbershore Ln Newport MN 55055 Saint Paul MN 55123 (651)500-6068 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 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 bui IdinainsoectionsO-cityofeaQan. com For Office Use --------- i„ I t Perm#: 1 S� I I I t jPermit Fee: I , Date Received: I I t Staff.. I I_________________- 2022 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: k'l' n -at'). Site Address: 117 R "h �L Tenant: Suite #: You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscdbe. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.000herstateonecall.ora 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 plan . Applicant's Printed Name Applicant's Signature Name: V G"eS M& , I-ASoV\ Phone: 61 a - L'i i `-� - 3 %'I `// Resident/Owner Address/ City /Zip: C(0, (0, awy%e e ��rM�� "M19-4 �JYJ Name: License #: Address: --� O o C � City: /\,)e -j90 rk Contractor State: J16N Zip: SS(�S Phone: sl-sco- 1006g Contact: �v\, Email: �� `Ee kw\o� r"N)Q � C:oyv-, Type Of Work — New — Replacement — Repair — Rebuild ) Modify Space — Work in R.O.W. Description of work: �&Aar S®lY12Y�c1 .2UVv� C— +M %k -i 0ln Tankless Water Heater Lawn Irrigation (— RPZ / — PVB) Standard Water Heater Add Plumbing Fixtures (___ Main / X Lower Level) Description Water Softener Description: tow Yemcw* VoqA\ywvv\ Septic System New Abandonment Connection to City Water from Well RESIDENTIAL FEES $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 or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well* + $300 for Meter and $205 for Radio Read = $565 *Sewer & Water Permit also required for connection charges TOTAL FEES $ You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscdbe. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.000herstateonecall.ora 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 plan . Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Meter Related Items: Reviewed By: Date: Under Ground Rough -In Meter Size Radio Read W Air Test Gas Test Final Manometer Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122 (651) 675-5675 1 FAX: (651) 675-5694 buildinainsaections(&-citvofeagan.com If you have a hearing or speech disability, contact us through your preferred telecommunications relay service.