EA180659 - Plumbing - Fixtures - Issued Date 12/16/2022PERMIT
City of Eagan , , , Permit Type: Plumbing
3830 Pilot Knob Rd,•,• �,,-, EAGAN Permit Number: EA180659
Eagan, MN 55122 •--- --
(651) 675-5675
111111111111
www.cityofeagan.com * E R 1 8 0 6 5 9
Date Issued: 12/16/2022
Site Address: 670 Red Pine Lane
Lot: 7 Block: 1 Addition: Sienna Woods
PID: 10-68075-01-070 Milli 11111 [1111111111111111111111111111111111111
Use: * 1 0— 6 8 0 7 5— 0 1— 0 7 0
Description:
Sub Type: Fixtures
Work Type: New
Description: new bathroom fixtures
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:
Owner:
Antonio & Ana E Ruiz
670 Red Pine Ln
Eagan MN 55123
- Applicant -
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
12-1 kr
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For Office Use
CE I V E 1 Permit #:
EAGA 1 I
V�I Permit Fee: I
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v i 4.12
Date Received: I
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 BY:.__. I I
(651) 675-5675 ( FAX: (651) 675-5694 I Staff:
build inginspections a().cityofeagan.com
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RESIDENTIAL PLUMBING PERMIT APPLICATION
Z'1 — Site Address:
Date: �, �`� �f�>< �� �q�Pc� Unit #:
Applicant is: alowner ❑ Contractor
Name: off vLJDilr'D A V=21 2,'
Homeowner Address: L70 cr ID t Y1 Gjj City: GQ a'w�
( s . ass -7 Z- 15 0 (� �� , c'�,t
State: �_ Zip: S"S 19- 7Phone:�Z Email: C(� � u (t 5 �
Type of Work Jo"ew _Replacement —Repair _Rebuild _ Modify Space _ Work in R.O.W.
Description
Plumbing
Contractor
Description of work:
Tankless Water Heater
Standard Water Heater
Water Softener
Septic System
New _ Abandonment
Company:
Address:
State: Zip:
License #:
Lawn Irrigation (_ RPZ /_ PVB/)
��Add Plumbing Fixtures L— Main /Jjr�_ Lower Level)
Description:yLQr.� G-4421-
- 441 On wl
Connection to City Water from Well
Contact:
City:
Phone: Email:
Expiration Date:
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 DIG. Contact Gopher State One Call at (651) 454-0002 or www.gophcrstatcorwc:ill u!g 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 ww ut 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
ted Name
FOR OFFICE USE
Reviewed By:
Meter Size (if applicable):
Date:
uired Inspections: Under Ground Rough -In Air Test Gas Test Manometer