EA181720 - Plumbing - Water Heater - Issued Date 03/15/2023 PERMIT
City of Eagan , ® Permit Type: Plumbing
3830 Pilot Knob Rd �,';� ®® Permit Number: EA181720
Eagan,MN 55122 e- ®-
(651)675-5675 EAU
www.cityofeagan.com * E R 1 B 1 7 2 0
Date Issued: 3/15/2023
Site Address: 2238 Water Lilly Lane
Lot: 502 Block: 02 Addition: Eagan Heights Townhomes 1st
PID:10-22425-02-502
Use: * 10 - 22425 - 02 - 502 �k
Description:
Sub Type: Water Heater
Work Type: Rebuild
Description: 40 gallon water heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL-Permit Fee(WS&/or WH) $64.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
Good Guys Plumbing Kaitlyn Orzechowski
2163 Bush Ave East 2238 Water Lilly Ln
St.Paul MN Eagan MN 55122
(952)239-7200
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.
,moi i&
Applicant/Permitee: Signature ssued B : Signature
For Office Use---------
Permit#: �) 1120
EAGAN
Permit Fee:
Date Received: I 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX:(651)675-5694 I Staff: I
buildinginspections(iaia7citvofeagan.com I———————————
——————
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ) '� Site Address: a2'& � �y Gam/ Unit#:
Applicant is: ❑ Owner JgContractor
Name:
Homeowner Address: C; z xlL
U City: 1�
Stat al Zi Phon Got- �v Email:
Type of Work —New ZReplaoement _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 L—Main/ Lower Level)
Septic System Description:
_New _Abandonment
Connection to City Water from Well
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Company: Ate® i �?GG�l/1/� Contact:/%//�e
Plumbing Address: ���� , / �//�� City: ��yL
Contractor
Stat✓ Zip: Phone J9-2 Email:
a
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.00pherstateonecall.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.
I hereby acknowledge that this Information is complete and accurate;that the work will be in conformance with the ordinances and cod 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 ut a permit; th a rk will be in
accordance with the approved plan In the case of work which requires a review and approval of plans.
x x
ppl cant's Printed Name �Epllffinrs Signature
FOR OFFICE USE 10,
Reviewed By: Date:
Meter Size(if applicable):
Required Inspections: Under Ground Rough-In Air Test Gas Test Manometer Final