EA182189 - Plumbing - Fixtures - Issued Date 04/12/2023 PERMIT
City of Eagan ® ® Permit"': Plumbing
3830 Pilot Knob Rd ,`®�® ®®�® Permit Number: EA182189
Eagan, MN 55122 ®® ®®
(651)675-5675 1111111111111111111111111111111111111111111111111
www.cityofeagan.com * E R 1 8 2 1 8 9 *
Date Issued: 4/12/2023
Site Address: 858 Sudberry Lane
Lot: 10 Block: 2 Addition: Sheffield
PID:10-67600-02-100
Use: * 10 - 67600 - 02 - 100 *
Description:
Sub Type: Fixtures
Work Type: Alteration
Description:
Meter Size Meter Type 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 Justin D&Kayla E Williams
1620 125th Ln NE 858 Sudberry Ln
Blaine MN 55449 Saint Paul 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 ssued B : Signature
r----------------i
For Office Use
�0 � I Permit#: I
EAGAN
Permit Fee:
'! I Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-56751 FAX:(651)675-5694 Staff: I
buildinginsgectionsOcityofeagan.com —————————————————
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 2� Site Address: S� �� Unit#:
Applicant is: ❑ Owner Montractor
Name: 0—us�\
Homeowner Address: V� I0 City:
State: N zip: Z3 Phone:10L-KEmail:
Type Of Work —New >*"�'Replaoement _Repair _Rebuild _Modity Space _Work in R.O.W.
Description of work:
Tankless Water Heater
Standard Water Heater Lawn Irrigation(_RPZ/ PVB)
Description Water Softener r Add Plumbing Fixtures('Z Main/ Lower Level)
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Description:�)uf:, �--
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Septic System o`�� VOL
Connection to City Water from Well
New Abandonment
Company: I V—M�G i ►'�Qj f\/lp,,�ktf S �-C Contact: /\I\()V\1Qr
Plumbing Address: \VLO �25 City: t�(o��►-�
Contractor MN �f NNq 2E @��Q�
State: Zip: Phone?�`3'tP S 7P mail: �''���l�r (�
License#:?G-I eta 5 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)4540002 or www.noaherstateonecall.org 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 .-I�YA tgoyV L X 2/
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