EA181072 - Sewer & Water - Commercial - Issued Date 01/23/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
PERMIT
Permit Type: Sewer & Water
• e ® K' Permit Number: EA181072
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Date Issued: 1/23/2023
Site Address: 2000 Cliff Lake Rd
Lot: 3 Block: 1 Addition: Cliff Lake Centre
PID: 10-17780-01-030 111111111111111 1111M
Use: Target * 10-17780-0 1-030*
Description:
Sub Type: Commercial
Work Type: Sewer Only
Description: adding additional services
Meter Size Meter lype Manufacturer Serial Number
Remote Number Line Size
Comments: Please call Utilities at (651) 675-5200 for water turn ons, shut offs and meters.
Please call Engineering at (651) 675-5646 to schedule inspections.
Fee Summary: Surcharge -Fixed
$1.00
9001.2195
SW - Sewer Lateral Charge
$0.00
9376.4611
SW - Sewer Permit Fee
$80.00
6201.4532
SW - Sewer Trunk
$0.00
9376.4611
Total:
$81.00
Contractor: - Applicant - Owner:
Krueger Excavating Inc Dayton Hudson Corp
P.O. Box 729 % Target Corp T0360 Prop Tax Dept
Prior Lake MN 55372 PO Box 9456
(952) 447-8335 Minneapolis MN 55440--945
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
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EA-GAN
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Permitt:.181072
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1 Permit Fee:
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Staff.
:RPERMIT
Phone:
Name: License #:
Contrai ctoir
Address/Cityov. % t' � L
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Email:
Kgin
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Pipelayer Training Con iflCatign #ai
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Property Use: Type of Service: Type of Work:
Residential ❑Sewer &Water IgNew U
O F-Coa
mmerctal C&wer Only ❑ Repair, Desai on:
Public Facility ❑ Water Only ❑ Disconnect
1 understand that new water connedgns require a separate Plumbing F ermit and associated meter to".
I hereby admowledge that this 6normatlon is complete and accurate, that the Work will be In conformance With the ordinances and codes of the City of Eagan.
that t understand this Is not a permit, but only an application fore permit, and work Is not v start Without a permit; that the work WlU be In accordance with the
approved plan In the case of work Whichrequiresa review and approval of plane.
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Addrev
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,Site
-----------------
For Ofsce Use I
Permitt:.181072
I i
1
1 Permit Fee:
I i
Date Received: i
I I
Staff.
:RPERMIT
Phone:
Name: License #:
Contrai ctoir
Address/Cityov. % t' � L
Phone.!+
Email:
Kgin
r �<
Pipelayer Training Con iflCatign #ai
r Master Plumtaee Ucense #c
Property Use: Type of Service: Type of Work:
Residential ❑Sewer &Water IgNew U
O F-Coa
mmerctal C&wer Only ❑ Repair, Desai on:
Public Facility ❑ Water Only ❑ Disconnect
1 understand that new water connedgns require a separate Plumbing F ermit and associated meter to".
I hereby admowledge that this 6normatlon is complete and accurate, that the Work will be In conformance With the ordinances and codes of the City of Eagan.
that t understand this Is not a permit, but only an application fore permit, and work Is not v start Without a permit; that the work WlU be In accordance with the
approved plan In the case of work Whichrequiresa review and approval of plane.