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EA184848 - Mechanical - Furnace & Air Conditioner - Issued Date 06/26/2023 PERMIT City of Eagan ® , Permit Type: Mechanical 3830 Pilot Knob Rd ®®°a® ®®;® Permit Number: EA184848 Eagan, MN 55122 ®®®® EAGAN (651)675-5675 111111111111 www.cityofeagan.com * E R 1 8 4 8 4 8 Date Issued: 6/26/2023 Site Address: 3830 Willow Way Lot: 57 Block: 01 Addition: Briar Hill 4th PID:10-14993-01-570 Use: * 10 - 14993 - 0 1 - 570 * Description: Sub Type: Furnace&Air Conditioner Work Type: Replace Description: Comments: Fee Summary: ME-Permit Fee $64.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 Total: $65.00 Contractor: - Applicant _ Owner: Bathricks Appliances Heather Holm 208 E 2nd St 3830 Willow Way Hastings MN 55033 Eagan MN 55122 (651)470-4238 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 0 I A,00 4-9) 1 0 �0 1 Permit I •�•• ••tee I I Permit Fee: EAGANI rte= I I I Date Received: I 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I I (651)675-56751 FAX: (651)675-5694 I staff: j Email: buildinginsoectionsc@citvofeagan.com (----------- —————— RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: U-Z6 - 1-3 Site Address: 3$3 O Wt l 100 W�� Unit#: Applicant is: ❑ Owner R6ntractor Name: I t'eG��Y� RC)l V-1 Homeowner Address: y v\dpi C AJC,- City: Caf es. State: f9y zip: S S 1ZZ Phone: mail: Lf o ✓H o�*j efit` a cc L-N Type of Work —New X RReeplacement _Repair —Alteration —Remove Description of work: Y—Furnace _Heat Pump Description Air Conditioner _Other Air Exchanger Company: l?)oZ,\N\% A G`�S D\ �'� I' CContact: E L V Mechanical Address: 'ZC)!a t5- �` City: 9- Contractor / c(Jv- Z3 n ^ State:l'`�Zip: �� y Phone: l9� ��� ` Email: 1 n�d �C IF=S^She C-P. c\6� License#: n 800436 Expiration Date: O Z LO(,& RESIDENTIAL FEES $150.00 New Residential(includes State Surcharge) $65.00 Residential alteration,furnace,air conditioner,ductwork,or any combination(includes State Surcharge) $100.00 Residential fireplace(s)(includes State Surcharge) TOTAL FEES$ You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. 0 XL- X Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final