EA182991 - Sewer & Water - Residential - Issued Date 06/21/2023 PERMIT
City of Eagan ® ® ® , Permit Type: Sewer& Water
3830 Pilot Knob Rd ®®�® ®®®®® Permit Number: EA182991
Eagan, MN 55122 ®®®® ®®®®
EAUAN
(651)675-5675 111111111111
www.cityofeagan.com g * E A 1 8 2 9 9 1
Date Issued: 6/21/2023
Site Address: 1471 Kings Crest
Lot: 4 Block: 1 Addition: Kings Wood 4th
PID:10-42002-01-040
Use: * 1 0 — 4 2 0 0 2 — 0 1 — 0 4 0
Description:
Sub Type: Residential
Work Type: New
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: Please call Utilities at(651)675-5200 for water turn ons, shut offs and meters.
Please call Engineering at(651)675-5646 to schedule inspections.
Fee Summary:
Total:
Contractor: - Applicant - Owner:
Gordys Excavation William O&Paula G Tstes Vlerra
861 Viking Blvd. %Tracy Ramos
East Bethel MN 55011 2123 Shady Cliff St
(612)282-9141 San Antonio TX 78232
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