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EA186306 - Plumbing - Fixtures - Issued Date 08/25/2023 PERMIT City of Eagan a ® 6 ' Permit Type: Plumbing 3830 Pilot Knob Rd EAGAN Permit Number: EA186306 Eagan, MN 55122 �- •-®® (651)675-5675 www.cityofeagan.com * E A 1 8 6 3 0 6 Date Issued: 8/25/2023 Site Address: 4294 Fox Ridge Rd Lot: 6 Block: 2 Addition: Sun Cliff 5th PID:10-72979-02-060 Use: * 10 72979 - 02 — d6 D * Description: Sub Type: Fixtures Work Type: Replace Description: Meter Size Meter Tyne 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: $65.00 Contractor: - Applicant - Owner: Rightmark LLC David Chris&Diane M Houser P O Box 343 4294 Foxridge Rd Buffalo MN 55313 Eagan MN 55122 (952)758-6237 This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature Q"9_e . ft r------'-----------i A ® ® � For Office Use '\ *i0o Permit I Dy j I I Permit Fee: Ito SEAGAN —__ I i I - I Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 j I (651)675-5675 1 FAX: (651)675-5694 1 Staff: buildinpinspectionsOcitvofeagan.com I-----------------i RESIDENTIAL PLUMBING PERMIT APPLICATION 7-1 Date: ISite Address 1 "I Unit#: Applicant is: ❑ Owner Contractor Name: 1( 1 r_) )A ou HOIileOWn@r Address: city: , City: --- State: Zip: Phone: Email: Type of Work —New ?<Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: Tankless Water Heater Lawn Irrigation(—RPZ/ PVB) Description Water Softener Standard Water Heater Add Plumbing Fixtures(_Main/_Lower Level) Septic System Description: New Abandonment Connection to City Water from Well I Company: t 4 ►r �(L�rn l 'r�v(��jt pact: u Plumbing Address-Q �4. "`� City: L+b Contractor Stated► Zip: PhoneYlJ � �r�J mail Y _ 'lei Iy • �1 License g.k7' !1{ �$ Expiration Date: 124 - Z RESIDENTIAL FEES $150.00 New Residential or Connection to City Water(includes State Surcharge) $65.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge) 4 $65.00 Lawn Irrigation(includes State Surcharge) U $65.00 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.gooherstateonecall.org 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 ma Y)`:�6 ... )�P� x Al PA Applicant's Printed Name Applicant's S nature FOR OFFICE USE Reviewed By: Date: Motor Size(if applicable): Required Inspections: Under Ground Rough In Air Test Gas Test Manometer Final