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: $65.00
Contractor: - Applicant - Owner:
Rightmark LLC David Chris&Diane M Houser
P O Box 343 4294 Foxridge Rd
Buffalo MN 55313 Eagan MN 55122
(952)758-6237
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
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A ® ® � For Office Use '\
*i0o Permit I Dy j
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Permit Fee: Ito SEAGAN
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- I Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 j I
(651)675-5675 1 FAX: (651)675-5694 1 Staff:
buildinpinspectionsOcitvofeagan.com I-----------------i
RESIDENTIAL PLUMBING PERMIT APPLICATION
7-1 Date: ISite Address 1 "I
Unit#:
Applicant is: ❑ Owner Contractor
Name: 1( 1 r_) )A ou
HOIileOWn@r
Address: city:
, City: ---
State: Zip: Phone: Email:
Type of Work —New ?<Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work:
Tankless Water Heater
Lawn Irrigation(—RPZ/ PVB)
Description Water Softener
Standard Water Heater
Add Plumbing Fixtures(_Main/_Lower Level)
Septic System
Description:
New Abandonment
Connection to City Water from Well
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Company: t 4 ►r �(L�rn l 'r�v(��jt pact:
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Plumbing Address-Q �4. "`� City: L+b
Contractor
Stated► Zip: PhoneYlJ � �r�J mail Y _ 'lei Iy • �1
License g.k7' !1{ �$ 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.
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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