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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 iYV) r--------- —E0- , AG AN 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 -----... j ui lira nsaections citvofea,gan.cam ---------- 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: ��f d rr►bP r� �► 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