EA182868 - Plumbing - Fixtures - Issued Date 05/12/2023 PERMIT
City of Eagan ® ® EAGAN Permit Type: Plumbing
3830 Pilot Knob Rd ®®® ® ®®®® Permit Number: EA182868
Eagan,MN 55122 ®® ®®®®
(651)675-5675 111111111111 IN 111111111111111111111111111111
www.cityofeagan.com * E A 1 8 2 8 6 8 *
Date Issued: 5/12/2023
Site Address: 1476 Violet Lane
Lot: 001 Block: 001 Addition: Villas of Violet Lane
PID:10-82020-01-010 1111111111111111111111111111111111111111111111110111 IN 1111111111111111 H
Use: * 10 - 82020 - 0 1 - 0 10 *
Description:
Sub Type: Fixtures
Work Type: New
Description: install drain/vent and water lines for sink
Meter Size Meter Ty
ne 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: Owner: - Applicant -
Pamela J Warren
1476 VIolet Ln
Eagan MN 55122
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
----------------
For Office Use
Permit#: I
_ EAGAN
I
Permit Fee:
I
Date Received: I
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 1 I
(651)675-5675 1 FAX:(651)675-5694
I Staff: ------J
buildinainsaectionsecityofeaoan.com -----------
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:S-La-4 023 Site Address: `Y74 Iii®16-r LAl &-haok►J MOU 592-2- Unit#:
Applicant is: P Owner ❑ Contractor
Name: 0AV i'0 W A 2(1k�
Homeowner Address: 147(p V I O LE T' L-�J City: 6AG'A10
State:Mk Zi : SS�3Z Phone:.,7/9-0-/56 Email: POWA `',0Av'Qosa
Type of Work A New —Replacement —Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work: 1 MsrAL-L- D0ZA'A X4--4 V&4– j– &A7 Li�L� �b BL Si�K
Tankless Water Heater
Standard Water Heater Lawn Irrigation l—RPZ/ PVB)
Description Water Softener Add Plumbing Fixtures(_Main/_( Lower Level)
Description: IOTA,,Oj f VL-k4'r t►NF t LVATW- I
Septic System
Connection to City Water from Well
New Abandonment
Company: Contact:
Plumbing Address: City:
Contractor
State: Zip: Phone: Email:
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.aooherstateonecall.om 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 OA-i 16 V P4z0 6*j x 0'.j
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Meter Size(if applicable):
Required Inspections: Under Ground Rough-in Air Test Gas Test Manometer Final