EA186639 - Sewer & Water - Commercial - Issued Date 09/07/2023 PERMIT
City of Eagan m , Permit Type: Sewer& Water
3830 Pilot Knob Rd & ` ° ' Permit Number: EA186639
Eagan,MN 55122 EAGAN
(651)675-5675
www.cityofeagan.com * E A 1 8 6 6 3 9
Date Issued: 9/7/2023
Site Address: 4012 Nicols Rd
Lot: Block: Addition:
PID: �®
Use: Nicols Pointe-Dakota County CDA
Description:
Sub Type: Commercial
Work Type: New
Description:
Meter Size Meter Tyne Manufacturer Serial Number Remote Number Line Size
Comments: Please call Utilities at(651)675-5200 for water turn ons, shut offs and meters.
Please call Engineering at(651)675-5646 to schedule inspections.
Fee Summary: Surcharge-Fixed $1.00 9001.2195
SW-Sewer Permit Fee $80.00 6201.4532
SW-Water Permit $80.00 6101.4507
Total: $161.00
Contractor: - Applicant - Owner:
Krueger Excavating Inc
P.O.Box 729
Prior Lake MN 55372
(952)447-8335
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
r For Office Use — I
a
Permit#: : ( O � `�' 59EAGAN I
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I Permit Fee:
I I
1 Date Received:
I
Staff:
-----------------
I I
2023 SEWER & WATER PERMIT
Date: I" Site Address:
Property Name: Phone:
�- OW118C
Address/City/Zip:
Name: I f License#: I (P55 P
Address/City/Zip: 1III AA
ottrac#or (/ 7 t _ G. `(10 r l l� /V w `�.��L
Phone:,N 7qz `' 151 Email: K-x
Pipelayer Training Certification#A �"!�� I or Master Plumber License#:
Property Use: Type of Service: Type of Work:
❑ Residential newer&Water qNew
Pkommercial ❑ Sewer Only ❑ Repair, Description:
❑ Public Facility ❑ Water Only ❑ Disconnect
❑ 1 understand that new water connections require a separate Plumbing Permit and associated meter fees.
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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ewe Air T
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Mandrel test
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S.eweC lateral x 3
_s Verify[ulster Configuration
S2W8C trunk x; r t �r �� "' rt t/rlateh OKf{�
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Water latera) �F a` 1 Rai r � a {ydrOStatIC Test
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a
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wateC trUflk a 2ffi
v� as r BaGtef[ct Test
City QAC{$1S9f31&AC untt} zi�� x� Mand Ptpe Inspehon
N►et�ourrod�A {$2 45/S�i�unto) 4 (et a
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3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651)675-5675 1 FAX: (651)675-5694 buildinginspectionspcityofeagan.com
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