EA185216 - Plumbing - Fixtures - Issued Date 07/17/2023PERMIT
City of Eagan
®® Permit Type: _ Plumbing
3830 Pilot Knob Rd
Eagan, MN 55122
,®e;® ®;: , Permit Number: EA185216
®••• •®-®
EAGAN
(651) 675-5675
1111111111111 IN 11111111111111111111111111111111
www.cityofeagan.com * E R 1 8 5 2 1 6*
Date Issued: 7/17/2023
Site Address: 1804 Merlot Curve
Lot: 503 Block: 06 Addition: Centex Vermilion 2nd
PID:10-16936-06-503
Use: * 1 0— 1 6 9 3 6— 0 6— 5 0 3
Description:
Sub Type: Fixtures
Work Type: Alteration
Description:
Meter Size Meter Type 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 -
Minnesota Rusco
5010 Hwy 169N
Brooklyn Park MN 55428
(952) 935-9669
Owner:
Robert H Williams
1804 Merlot Cury
Eagan MN 55122-316
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.
1 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 sued B : Signature
----------------,
o ® ® ® I For Offlce Use I
®®®®® ®®® ®® I Permit#:
EAGAN
Permit Fee: T U
ECIVDate Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651) 675-5675 1 FAX: (651) 675-5694 J U L 1 1 2023�Staff:: j
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an.com — — — — — — — — — — — — —
RESIDENTIAL PLUMBA ERMIT APPLICATION
Date. 7/12/23Site Address: 1804 Merlot Curve Eagan, MN 55122 Unit#:
Applicant is: ❑ Owner 14 Contractor
Name: Robert Williams
Homeowner Address: 1804 Merlot Curve city: Eagan
State: MN Zip: 55122 Phone: 952-935-966 Email: kelli@minnesotarusco.com
Type of work — New Z 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)
DeSCri tion Add Plumbing Fixtures (� Main /— Lower Level)
p Water Softener
Septic System Description: Replace shower
New Abandonment Connection to City Water from Well
Company: MN Rusco Contact: Kelli Gugisberg
5010 Hwy 169 N New Hope
Plurnbing :Address: city:
Contractor MN 55428 952-935-966 kelli@minnesotarusco.com
State: Zip. Phone: Email.
License* PC805612 Expiration Date: 12/31/23
RESIDENTIAL FEES
$150.00 New Residential or Connection to City Water (includes State Surcharge)
$66.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$65.00 Lawn Irrigation (includes State Surcharge)
$66.00 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.aooherstateonecall.oro 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
Applicant's Printed Name Applicant's Vgn6ture