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EA185075 - Sewer & Water - Residential - Issued Date 07/06/2023 PERMIT City of Eagan , ° Permit Type: Sewer& Water 3830 Pilot Knob Rd ®®ae ® ® ®®°® Permit Number: EA185075 Eagan, MN 55122 °®_® ®--® EAGAN (651)675-5675 111111111111 www.cityofeagan.com * E R 1 8 5 0 7 5 Date Issued: 7/6/2023 Site Address: 3665 Widgeon Way Lot: 6 Block: 1 Addition: St Francis Wood 2nd PID:10-65901-01-060 Use: * 1 0 — 6 5 9 0 1 — 0 1 — 0 6 0 Description: Sub Type: Residential Work Type: Sewer Only Description: Repair Meter Size Meter Tvue 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: Surcharge-Fixed $1.00 9001.2195 SW-Sewer Permit Fee $80.00 6201.4532 Total: $81.00 Contractor: - Applicant - Owner: ASAP Underground LLC Travis Keith Weltman 2355 Fairview Ave,Suite 371 3665 Widgeon Way Roseville MN 55113 Eagan MN 55123 (612)222-5502 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 jFor office Use ------� ® ® ® 0 ® ® I e a I Penult#• CEIVE -EAGA I Permit Fee: . UL o 5 2023 I Date Received: l � I I 6y: [ Staff:-------------- I I 202 Date: 7/6/23 site Address: 3665 Widgeon Way �oName: Travis Waltman Phone: 952-913-2302 ' Ir 3665 Widegeon Way, Eagan, MN 55124 Address/C(ty2ip: Name:ASAP Underground LLC License#: PC664926 P' Conbador Address/C40p:2355 Fairview Ave#371, Roseville, MN 55113 Phone:651.493-3744 Email: dispatCh@asapmn.Com Pipelayer Training Certification#: or Master Plumber License# 060169 Property Use: Type of Service: Type of work: Residential ❑Sewer&Water ® New ®Commercial Sewer Only ® Repair,Description: Excavate in yard for spot-repair of sewer line. Public Facility ®Water Only ® Disconnect 1 understand that new water connections require a separate Plumbing Permit and asso*wd meter fees. 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 permft,and work is not to start without a permit;that the work will be In accordance with the approved plan in the one of work which requires a review and approval of plans. Tedd Hathaway Applicant's Printed Name Applicant°s Sinatu ?ees: 96quired inspections: Sewer only Sewer Permi#.($80.06) Sewer Air Test Water Permit($80.00) Mandrel Test SSW R®pairlDlsc:cainsrcE($t3Q:00) Sewer lines Televised SewsrT tai _ '.. Ver1Fy Meter:Conl guru on ewer:trurlk Water Only itilater supply S stomSe .i ConductIft, Teen Vltater,laterat° Hydrostatie'rest Water trunk Bacteria Test �- city SAC'($1 $tena Pipe inspection diet Gounoit SA ($2,4864ACur't) Wet'ap Tre0t6*0 Plant09,1 6 tiOJSAG`unit Stale; unii urge $1Fp0 AddOtlonei ettairera►errt�s; Total:. Tedd I=lathawaY Clty:R41 i Nihil t County RAW Permit Plumbing Permit PFtyRqqUllred, " 3830 PILOT KNOB ROAD i EAGAN,MN 55122 (651)675-5675 1 FAX:(651)675-5694 buiidin-ginspectionsoci ofeagan.cam If you have a hearing or speech disability,contact us through your preferred telecommunications relay service.