EA186734 - Plumbing - Single Fam - Issued Date 09/11/2023PERMIT
City of Eagan
Site Address: 4140 New York Ave
Lot:36 Block: 4 Addition: Stafford Place
PID:10-72500-04-360
Use:
Eagan,
Permit Type:Plumbing
Permit Number:EA186734
EA186734*
Date Issued:9/11/2023
Permit Category:ePermit
10-72500-04-360*
Description:
Sub Type:Single Fam
Work Type:New
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Applicant: John Molitor
875 Blue Gentian Road Suite 900
Eagan, MN 55121
612) 724-8253
plumbing@ronthesewerrat.com
PayPal Reference #: AL0A9AB249C2, 9/11/2023; Total Payment $150.00 (Permit Fees: $150.00)
Fee Summary:PL - Plumbing New Residential $149.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
150.00Total:
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.
Contractor:Owner:- Applicant -
David R & Gail P Rosati
4140 New York Ave
Saint Paul MN 55123--158
651) 226-3733
Ron The Sewer Rat Inc.
PO Box 17095
Minneapolis MN 55417
612) 724-8253
Applicant/Permitee: Signature Issued By: Signature