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EA182920 - Sewer & Water - Residential - Issued Date 05/16/2023 PERMIT City of Eagan Permit Type: Sewer& Water 3830 Pilot Knob Rd ®a® ®®A'® Permit Number: EA182920 Eagan, MN 55122 ®a•• •--• EAGAN (651)675-5675 111111111111 www.cityofeagan.com * E R 1 8 2 9 2 0 Date Issued: 5/16/2023 Site Address: 3675 Canary Way Lot: 004 Block: 001 Addition: Westbrook 1st PID:10-83625-01-040 11111111111111111111111111 Igo Use: * 10 - 8362S - 01 - 040 * Description: Sub Type: Residential Work Type: Sewer Only Description: Repair Meter Size Meter lype Manufacturer Serial Number Remote Number Line Size Comments: Please call Utilities at(651)675-5200 for water turn ons, shut offs and meters. Please call Engineering at(651)675-5646 to schedule inspections. Fee Summary: Surcharge-Fixed $1.00 9001.2195 SW-Sewer Permit Fee $80.00 6201.4532 Total: $81.00 Contractor: - Applicant - Owner: Triple E Water and Sewer LLC John E Ranheim 5232 Hanson Ct N 3675 Canary Way Brooklyn Center MN 55429 Saint Paul MN 55123--222 (763)207-8068 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 l� ------------I :1 r For Office Use I I o e o ® I Permit#: I I EAGAN Permit Fee: 1 1 I I 4 Date Received: ! I I i �—Staff: -----------^-- _- 2023 SEWER & WATER PERMIT Date: 5/16/2023 site Address: 3675 Canary Way Eagan, MN, 55123 4 ` Property Name: John Ranheim Phone: 6512480022 owner 3675 Canery Way Eagan, MN, 55123 Address/City/Zip: Tri le a water and sewer PB710895 Name: P License#: Address/city/Zip: 5232 Hanson Ct N Crystal, MN, 55429 Contractor sam@eee-ws.com Phone: 763 207 8068 Email: V 9386 or Master Plumber License#: Pipelayer Training Certification#: Property Use: Type of Service: Type of Work: 91 El Sewer&Water 11 New Residential Excavate and repair sanitary sewer In yard.Replace up to 8'with new PVC Only Repair, Description: [3 Commercial 14 Sewer Onl ❑ Public Facility ❑Water Only ❑ Disconnect ❑ 1 understand that new water connections require a separate Plumbing Permit and associated meter fees.cation for a permof Eagan; 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 that I understand this is not a permit,but only app it,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 es Digitally signed by Samuel Erickson a review and approval of plans. Samuel Erickson Date:2023.05.15 09:49:12-05'00' X Samuel Erickson Applicant's Signature Applicant's Printed Name _ "p4R OFFICE USE ONLY r Requtred Inspections: Sewer Clnly Edies. Sewer Air Test Sewer Permit($80.00) Mandrel Test Water Pert$$Q.00) Sewer Lines Televised e 'ai!disconnect($80.00} Verify Meter Configuration *_.--- S&W R r Water Only Sewer lateral Conductivity Test Sewer trunk Hydrostatic Test Water supPIY&storage Bacteria Teat Water lateral Stand Pipe Inspection _-- Water trunk Wet Tap City SAC($139.00/SAC unit) ; Met otandi24851SAC unit) TreatmntPlant`($1,126;p0/SAC unit) $100 Additional Requtremenx State Surcharge City to,w Permit Total: Samuel Erickson County R-O W Permit. Plumbing Permit _— PRY Required - J _ 3830 PILOT KNOB ROAD J EAGAN,MN 55122 our referred to relay service. (651)675-5675 i FAX: (65ca675-5694 nta t us throulgh y lnsp cferredonsa�cityofeaaan.com If you have a hearing or speech disability,