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EA186512 - Mechanical - Single Fam - Issued Date 09/06/2023 PERMIT City of Eagan • , , ' Permit Type: Mechanical 3830 Pilot Knob Rd s®•;�= ��;®'p Permit Number: EA186512 Eagan, MN 55122 -- •- EAGAN (651)675-5675 www.cityofeagan.com ®` * E R 1 8 6 5 1 2 Date Issued: 9/6/2023 Site Address: 4455 Slater Rd Lot: 071 Block: 2 Addition: Cinnamon Ridge 3rd PID:10-17402-02-071 SUMUMHUMUMM Use: * 1 d - 17402 - 02 - 07 1 Description: Sub Type: Single Fam Work Type: Alteration Description: basement heat&returns,dryer vent,bath fan vent Comments: Fee Summary: ME-Mechanical Residential Alteration $64.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 Total: $65.00 Contractor: - Applicant - Owner: Timeline Mechanical Duc Hun Ha 8191 Ravenrock Rd 4455 Slater Rd Rockford MN 55373 Saint Paul MN 55122--238 (651)206-1405 This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature 01 ---------1 I For office Use I 0 � � � f ► � i Permit#: Permit Fee.EAGAN S 1 Date Received: 3830 PILOT KNOB ROAD I FAGAN,MN 55122-1810 I I (651)675-5675 FAX:(651)675-5694 I Staff: I Email:buildinoinsaections(&cityofeaaan.com (---------'------- RESIDENTIAL MECHANICAL PERMIT APPLICATION Date:91st$©a3 Site Address: T 1 SS S�v"`U l�Q(J� gC7l� MtV Unit#: Applicant is: ❑Owner 1PContractor Name: Rub A-WeA i Homeowner i Address: q q Ss cel la-t f goo of city: State.tK Zip: 5 Phone: 51Email: 'fL r Type of Work —New k Replacement _Repair _Alteration _Remove Description of work: s _Fumace _Heat Pump Description Air Conditioner Other _Air Exchanger Company: Contact: Mechanical Address: Nn V&KUA1 gaCity:"&�;t ASAq. 0�n n Contractor State-VZip: J©Q� Phone: ?W' " ail: elir►en�ee��n�a�l a`�9n�a,l. �l9'i License#: 1 (JExpiration Date: RESIDENTIAL FEES $150.00 New Residential(includes State Surcharge) $65.00 Residential aReration,fumace,air conditioner,ductwork,or any combination(includes State Surcharge) $100.00 Residential fireplace(s)(includes State Surcharge) TOTAL FEES$ W✓'' You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeacan.comisubscribe. 1 hereby admowledge 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 start without a permit;that the work will be in accordance with the proved plan in the case of work which requires a review and approval of plans. x � kr L/111 if LFIV-FVVV- %e Applicant's Printed Name Appl nt's S'kifiatuire FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test i Gas Service Test in-floor Heat Final