EA185350 - Plumbing - Single Fam - Issued Date 07/19/2023 PERMIT
City of Eagan ® ® Permit Type: Plumbing
3830 Pilot Knob Rd ®®o;® ®®®® EAG/AN
Permit Number: EA185350
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Eagan,MN 55122 ®--- ••®®
(651)675-5675 111111111111
www.cityofeagan.com * E R 1 8 5 3 5 0
Date Issued: 7/19/2023
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: Single Fam
Work Type: New
Description:
Meter Size Meter Tune Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL-Plumbing New Residential $149.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
Total: $150.00
Contractor: - Applicant - Owner:
A.Johnson Plumbing Inc William O&Paula G Tstes VIerra
17285 211th Ave NW %Tracy Ramos
Big Lake MN 55309 2123 Shady Cliff St
(612)369-0228 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
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RESIDENTIAL FEES
U50.00
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150.00
TOTAL
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