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EA182624 - Plumbing - Water Heater - Issued Date 05/02/2023 PERMIT City of Eagan ® ® , ° Permit Type: Plumbing 3830 Pilot Knob Rd '.® ® ® °a° Permit Number: EA182624 Eagan,MN 55122 •--® mm-aEAGAN 111111111111 (651)675-5675 � * E R 1 8 2 6 2 4 www.cityofeagan.com Date Issued: 5/2/2023 Site Address: 3771 Grey Dove Lane Lot: 2 Block: 19 Addition: Town View 1st PID:10-77100-19-020 Use: * 10 - 77 100 — 19 - 020 * Description: Sub Type: Water Heater Work Type: Replace Description: Meter Size Meter])Me 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: Appliance Connections Inc Christyna H Jarosh 12850 Louisville Road 3771 Grey Dove Ln Shakopee MN 55379 Saint Paul MN 55122-412 (952)445-4803 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 ---------------- 1 For Office U I ° ° i • � 1VIA ♦°� •` • 1 Permit#. • m •s.+ AG AN I I I Permit Fee: Date Received: I 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I I (851)675-56751 FAX:(661)875-5894 Statf: bUIIdInaIn8oecdons0c–Wofeaaan Com ---------------- RESIDENTIAL PLUMBING PERMIT APPLICATION Date:05/02/23 SiteAddress:3771 GREY DOVE LANE Unita Applicant is: ❑Owner la Contractor Name:CHRISTYNA JAROSH Hfyrheowner Address:3771 GREY DOVE LANEcity: EAGAN $tate:MN ZI :55122 Phone:6513024490 Email: N/A llype;of Work —New V Replacement —Repair _Rebuild —Modify Space —Work in R.O.W. Description of work: REPLACE WATER HEATER —Tankless Water Heater Standard Water Heater --Lawn irrigation(—RPZ/ PVB) �SOrIO Water.Softenar _. Add Plumbing Fixtures(_Mein!_Lower Level) _Septic System Description: New Abandonment Connection to City Water from Well Company: APPLIANCE CONNECTIONS INC Contact:JAMIE RI'PPEL w '� PIulmbiftg Address:12850 LOUISVILLE ROAD ��,. SHAKOPEE �100tf8CtO1"' MN 5553799524454803 OFFICE@APPLUWCECONNECTIONSINC.COM States Zip. Phone: Email: License#: PM057209 Expiration Date: 12/31/2024 RESIDENTIAL FEES $150.00 New Residential or Connection to City Water pncludes State Surcharge) $55.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge) $65.00 lawn irrigation(includes State Surcharge) $65.00 Newfixtures,ending,altering,or removing piping pncludes State Surcharge) $85.00 Septic p System Abandonment pncludes State Surcharge) 65.0U TOTAL FEES$ CALL BEFORE YOU DIG, Contact Gopher State One Cell at(851)454-0002'or www.aooherstateonecall.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 Clty of Eagan;that i underatehd this Is not a permit,but only an application for permit and work is not to start without a permit;that the work-Wilt be in ar;Cordance with the approved plan In the 0860 of work which requires a review and approval of plans. xJAMIE RIPPEL /� Appilcant's Pointed Name x r App call tors Signa"tuun FOFf OFFICE USE, Ftsv)ewdt!By^ Date: Meter Site(if appltceble)s' Riagwired lits Dna:: " Under Ground Dough-lm AIr7oit l3:ts Test ' Manom®ker. FIna1