EA184776 - Plumbing - Fixtures - Issued Date 06/21/2023 PERMIT
City of Eagan ® ® Permit Type: Plumbing
3830 Pilot Knob Rd ,®® ® ®®, Permit Number: EA184776
Eagan, MN 55122 ®® a®®a EAGAN
(651)675-5675
www.cityofeagan.com * E R 1 8 4 7 7 6
Date Issued: 6/21/2023
Site Address: 4467 Slater Rd
Lot: 011 Block: 2 Addition: Cinnamon Ridge 3rd
PID:10-17402-02-011
Use: * 10 - 17402 - 02 - 0 1 1 *
Description:
Sub Type: Fixtures
Work Type: New
Description: rough in and install 3/4 bathroom
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
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Contractor: - Applicant - Owner:
Greg Hoffman Plumbing LLC Nancy J Schrader
15057 FOREST BLVD N 4467 Slater Rd
Hugo MN 55038 Saint Paul MN 55122-238
(651)387-1710
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
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° I For Office Use
i 1 Permit#:12 2 4,11
1Permit Fee:EAGAN
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I Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX:(651)675-5694 1 Staff: I
buildinainspections(&-citvofeaaan.com -----------�
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: -al' Site Address: /rL��l�1�'�: Unit#:
Applicant is: ❑ Ownerontractor
Name: AomeI/P o r
Homeowner Address:.'353? f0oDoa' City: (!�rv�-kl
State Zi Phone: Email:
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Type of Work
S–New _Replacement _Repair —Rebuild Modify Space Work in R.O.W.
Description of work: 1b 141l f, I
Tankless Water Heater
Standard Water Heater Lawn Irrigation(_RPZ/ PV
B)
Description Water Softener `�dd Plumbing Fixtures( Main/ ower Lev 1)
Septic System Description: 4&19 it
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Connection to City Water from Well
New Abandonment /'
Company: 61' / b1 L Contact:
15 ell
Plumbing Address: (C'S . /0. City: O
Contractor ,�,�,�/ �® 0 4I Ute/
State:!►U1� Zip:5503t? Phone:
�?d Email: re
License#: Expiration Date:
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.nopherstateonecall.om 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.
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Applicanfik P me ame Applicanr,6,01griature
FOR OFFICE USE
Reviewed By: Date:
Meter Size(if applicable):
Required Inspections: Under Ground Rough-in Air Test Gas Test Manometer Final