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EA181704 - Plumbing - Fixtures - Issued Date 03/13/2023 PERMIT City of Eagan ° a , , Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA181704 o s + e e Eagan,MN 55122 •--- ••e• (651)675-5675 1111111111111 IN 1111111111111111111111111 IN IN www.cityofeagan.com * E R 1 8 1 7 0 4 * Date Issued: 3/13/2023 Site Address: 990 Ticonderoga Tr Lot: 23 Block: 2 Addition: Lexington Square 6th PID:10-45080-02-230 111111111111111 IN 111111111111111111111 HIM Use: * 1 0 — 4 S 0 8 0 — 0 2 — 2 3 0 Description: Sub Type: Fixtures Work Type: Alteration Description: shower to shower 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: - Applicant - Owner: Plumbing Masters LLC Tricia Briscoe 1620 125th Ln NE 990 Ticonderoga Tri Blaine MN 55449 Eagan MN 55123 (763)657-9926 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 slued B : Signature ----- j For Office Use--- Permit#: I EAGAN 1 Permit Fee: _ I I Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I j (651)675-5675 1 FAX:(651)675-5694 Staff: buildinainst)ectionsO)citvofeaaan.com -----------------� RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Unit#: Applicant is: ❑ Owner AWContractor Name: HomeownerAddress: I C-CO(I C(e{-o�q f r city: State:W'l Zip:1E95123 Phone: CIP 12 3�5 Email: Type of Work —New Replacement —Repair —Rebuild _Modify Space —Work in R.O.W. Description of work: Tankless Water Heater Standard Water Heater Lawn Irrigation(_RPZ/ PVB) Description Water Softener ` Add Plumbing Fixtures(—Main/_Lower Level) Septic System Description: S� `- e J h w¢-.r- New _Abandonment Connection to City Water from Well _ Company: ? l "' MGS�CXS Contact: All t' h�� Plumbing Address: I 20 ZS� Z c N� City: l i fL-f,- Contractor State:NAA` Zip: 55y `-l� Phone: -7" (-57 97Z �.4Email: 1 rr, Ict7 ® � 0j&V d,co p, License#: PC�4 9 15 1-7 Expiration Date: 'Z- RESIDENTIAL 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.aooherstateonecall.oru 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 plans. X tM `v`OVA U-<- x �. Applicant's Printed Name Applicants Signature FOR OFFICE USE Reviewed By: Date: Meter Size(if applicable): Required Inspections: Under Ground Rough-In Air Test Gas Test Manometer Final