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EA184641 - Plumbing - Fixtures - Issued Date 06/16/2023 PERMIT City of Eagan Permit"': Plumbing 3830 Pilot Knob Rd ®®° ® ® ®®° Permit Number: EA184641 Eagan, MN 55122 ®®®® ®®®® EAGAN (651)675-5675 111111111111 IN 11111111111111111111111111111111 www.cityofeagan.com * E R 1 8 4 6 4 1 * Date Issued: 6/16/2023 Site Address: 4252 Sun Cliff Rd Lot: 2 Block: 5 Addition: Sun Cliff 1st PID:10-72975-05-020 11111111111111111111111111 11M Use: * 10 - 72975 - 0S - 020 * Description: Sub Type: Fixtures Work Type: Replace Description: 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: Minnesota Rusco Kyle Thomas Mader 5010 Hwy 169N 4252 Sun Cliff Rd Brooklyn Park MN 55428 Eagan MN 55122 (952)935-9669 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 ----------------- For Office Use I Permit#: 184641 I A Cam 70'k A I Permit Fee: �� I CEIVE 1 I I Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 CUN � 5 2023 1 (651)675-5675 1 FAX: (651)675-5694 Staff: buildinainspectionsOcityofeapan.com 6Y; ------------------ RESIDENTIAL ----------------RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 6/15/23 Site Address: 4252 Sun Cliff Rd Eagan, MN 55122 Unit#: Applicant is: ❑ Owner 14 Contractor Name: Kyle Mader Homeowner Address: 4252 Sun Cliff Rd City: Eagan State: MN Zip: 55122 Phone: 612-254-5322 Email: kelli@minnesotarusco.com Type of Work, —New V( Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: Direct replacement of existing shower wet space,wall surround, and plumbing fixtures. Tankless Water Heater Standard Water Heater Lawn Irrigation(_RPZ/ PVB) De8cri tion Add Plumbing Fixtures�Main/ Lower Level) p Water Softener Septic System Description: Shower New Abandonment Connection to City Water from Well Company: MN Rusco Contact: Kelli Gugisberg Plumbing Address: 5010 Hwy 169 N City: Eagan Contractor State: Zip.. Phone:MN 55428 952-935-966 Email.. kelli@minnesotarusco.com License#: PC805612 Expiration Date: 12/31/23 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.00pherstateonecall.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 of plans. X Kelli Gugisberg X Ae4601gn Applicant's Printed Name Applicant's ig ture FOR OFFICE USE- Reviewed By: Date: Meter,Size Of applicable): Required Inspections: Under Ground Rough-In Air Test Gas Test Manometer Final