EA183276 - Plumbing - Fixtures - Issued Date 06/01/2023 PERMIT
City of Eagan , ® ® ® Permit Type: Plumbing
3830 Pilot Knob Rd ®®®®® ®®®®, Permit Number: EA183276
Eagan,MN 55122 EAGAN
(651)675-5675 111111111111
* E R 1 8 3 2 7 6
www.cityofeagan.com
Date Issued: 6/1/2023
Site Address: 1628 River Bluff Ct
Lot: 098 Block: 05 Addition: Robert Karatz
PID:10-41300-05-098
Use: * 1 0 — 4 1 3 0 0 — 0 S — 0 9 8
Description:
Sub Type: Fixtures
Work Type: Alteration
Description: Relocate kitchen sink, install shower
Meter Size Meter Tyne 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:
Roto Rooter Thomas Corniea
14530 27th Ave N 1628 River Bluff Ct
Plymouth MN 55447 Eagan MN 55121
(763)519-3977
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 sued B : Signature
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i Permit2 . m I Permit Fee:I I
Date Received: j
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 1 j
(651)675-5675 1 FAX:(651)675-5694 j Staff: 1
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RESIDENTIAL PL IT APPLICATION
Date: to- 3 Site Address: /(0 r-2 L ue r tk` Q unit: :
Applicant is: ®Owner Contractor
Name: J'�� Q l� v`1�
Homeowner I Address: ioc L U C r t-e C City. 4 Vx
State:MLZI :� 3l Phone: ' Email:
Type of Work l New _Replacement _Repatr _Rebuild _Modify Space _Work in R.O.W.
Description of work:*RC 1G C(.-'(� �44-( Ke YN i MY- LaStc, 0
Tankless Water Heater
Standard Water Heater Lawn irrigation(^RPZ!PVB)
Add Plumbing Fixtures(_Main/ Lower Level)
Descripti®n Water Softener Description:
Septic System
Connection to City Water from well
Now —Abandonment
Company: 64c. , �WO'�A� Contact: ke.- r
Plumbing Address:_1L/�3v ' a'1� ` ►� Uf tJ City: VY\o L-A
Contractor stat®�1°» zp:5 u? Phone �' =51 r Email:
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License#: Q b Expiration Date: oZ- h o�Ci oZ y �ti
RESIDENTIAL FETES
$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)
$66.00 New fixtures,adding,altering,or removing piping(includes State Surcharge)
$65.00 Septic System Abandonment(includes State Surcharge)
TOTAL FEES
CALL BEFORE YOU Dili. Contact Gopher state One Call at(651)454-W02 or www.aooherstateonec:all.orq 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 Infamretlon Is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan;diet 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 rase of work which requires a review and approval of pians.
Applicanra Printed Name AppiicanYs Signature
FOR OFFICE USE
Reviewed By: Date:
Meter Sin(if applicable):
Required Ins ctlons: Under Ground Rough-In Air Test Gas Test Manometer Final