EA182654 - Plumbing - Single Fam - Issued Date 05/03/2023PERMIT
City of Eagan
Site Address: 863 Lakewood Hills Rd
Lot:022 Block: 1 Addition: Rockwoods Woods
PID:10-64500-01-022
Use:
Eagan,
Permit Type:Plumbing
Permit Number:EA182654
EA182654*
Date Issued:5/3/2023
Permit Category:ePermit
10-64500-01-022*
Description:
Sub Type:Single Fam
Work Type:New
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Applicant: Anthony Zimmer
18612 Dulaney Dr
Farmington, MN 55024
651) 463-1223
azimmer.performance@gmail.com
PayPal Reference #: AG0A6ED5D635, 5/3/2023; Total Payment $150.00 (Permit Fees: $150.00)
Fee Summary:PL - Plumbing New Residential $149.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
150.00Total:
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.
Contractor:Owner:- Applicant -
Kevin Gohl
863 Lakewood Hills Rd
Eagan MN 55123
Performance Plumbing & Heating
18612 Dulaney Dr
Farmington MN 55024
651) 463-1223
Applicant/Permitee: Signature Issued By: Signature