EA184454 - Plumbing - Water Softener - Issued Date 06/08/2023 PERMIT
City of Eagan ® ® ® ® Permit Type: Plumbing
3830 Pilot Knob Rd "% ®®®®A Permit Number: EA184454
Eagan,MN 55122 ®®®® ®®®® EAGAN
(651)675-5675 111111111111
www.cityofeagan.com E R 1 8 4 4 5 4 �k
Date Issued: 6/8/2023
Site Address: 2073 Bluestone Dr E
Lot: 30 Block: 8 Addition: Cedar Grove 3rd
PID:10-16702-08-300 111111111111 IN 111111 111ni 1111111111111111111111111 IN 1111111111111111 list
Use: * 1 0 — 1 6 7 0 2 — 0 8 — 3 0 0
Description:
Sub Type: Water Softener
Work Type: Replace
Description:
Meter Size Meter Twe 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:
Milbert Company(Culligan) Scott Carmody
1801 50th St E 2073 Bluestone Dr
Inver Grove Heights MN 55077 Eagan MN 55122
(651)451-2241
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
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For Office Use I
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e�%� I Permit#: 184454
EAGAN
I Permit Fee: I
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Date Received: v
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I I
(651)675-56751 FAX; (651)675-5694 Staff:
buildinainsoectionsokitvofeagan com ----------------
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: l ' Site Address: t)r Unit#!:
Applicant is: ❑ Owner 2 Contractor
Name:
Homeowrrer.. Address:
Stat Zi honk" �1� il: U
Type of Work _New _Replacement _Repair —Rebuild _Modify Space _Work in R.O.W.
Description of work:
Tankless Water Heater
Standard Water Heater Lawn Irrigation(_RPZ 1_PVB)
Description ✓ Water Softener Add Plumbing Fixtures L_Main/ Lower Level)
_Septic System Description:
New Abandonment —Connection to City Water from Well
Company: MILBERT COMPANY dba CULLIGAN Contact: BILL MILBERT
Plumbing' Address: 1801 50TH STREET EAST INVER GROVE HEIGHTS
CoCity:ntractor State: Zip: Phone: Email:MN 55077 651-451-2241 SERVICE@CULLIGAN4WATER.COM
#: WC643176
License
Expiration Date:
RESIDENTIAL FEES
$100.00 New Residential or Connection to City Water(includes State Surcharge)
$60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 New fixtures,adding,altering,or removing piping(includes State Surcharge)
$115.00 New Septic System(includes County fee and Stale Surcharge)
$60.00 Septic System Abandonment(includes State Surcharge)
TOTAL FEES $--L2 .�
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.nooherstateonecall ora 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 tans.
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Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Meter Size(If applicable):
Re'quir."ed lnspectlons:. . .=. Under..Ground Rougli-ln Air Test Gas TestManometer _Finat