EA181001 - Plumbing - Fixtures - Issued Date 01/17/2023PERMIT
City of Eagan
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Permit Type:
Plumbing
3830 Pilot Knob Rd
Eagan, MN 55122
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Permit Number:
EA181001
(651) 675-5675
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www.cityofeagan.com
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Date Issued:
1/17/2023
Site Address: 520
Aidan Cv
Lot: 5 Block: 1
Addition: Tipperary
PID: 10-76815-01-050
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Use:
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Description:
Sub Type: Fixtures
Work Type: New
Description: Plumbing Fixtures for LL
Meter Size Meter Tyne
Manufacturer Serial Number Remote Number
Line Size
Comments:
Fee Summary:
PL - Plumbing Permit Fee $64.00
0801.4087
Surcharge -Fixed $1.00
9001.2195
Total: $65.00
Contractor:
Owner:
Kinsi Mohamed Mirreh
520 Aidan Cv
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
E AG A N
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For Office Use I
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I Permit #: IN601 I
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Permit Feer/ I
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Date Received: 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I 1
(651) 675-5675 1 FAX: (651) 675-5694 I Staff:
buildinginspectionsC&-citvofeagan.com ----------------
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:®( , Site Address: G20 CUy'e Ftau fWSSIZ� Unit#:
Applicant is: Owner ❑ Contractor
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Name:
Address: 4;20 A�dafA C" city: 5
Homeowner
State: 1" Zi • SS (Z Phone: Sv} 7*3 13 Email:
Type of Work
,,/New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
Tankless Water Heater
Lawn Irrigation (— RPZ / PVB)
Standard Water Heater
DeSc>ri tion
p
Add Plumbing Fixtures l— Main /. Lower Level)
Water Softener
Septic System Description:
Connection to City Water from Well
New Abandonment
Company: Contact:
Plumbing
Address:
Contractor
- -
State: —ZIP:___.___, Phone: Email:
License.#:. ` Expiration Date:
RESIDENTIAL FEES
$150.00 New Residential or Connection to City Water (includes State Surcharge)
$65.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$65.00 Lawn Irrigation (includes State Surcharge)
$65.00 New fixtures, adding, altering, or removing piping (includes State Surcharge)
$65.00 Septic System Abandonment (includes State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.aopherstateonecall.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.
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 S.
1 1411140
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Applicant's Printed Name A Iicant's 4ignafurif
Vt\: V1 f IV YYVL --
Review
Neter size (if applicable):
kequUed inspections: Under Ground Rough -in
Date:
est Gas Test Manometer Final