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