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EA187461 - Mechanical - Ductwork - Issued Date 10/13/2023 PERMIT City of Eagan , , , , Permit Type: Mechanical 3830 Pilot Knob Rd ,•q,•+ ®,,,•!® E AGAN Permit Number: EA187461 Eagan,MN 55122 `••- ®--' (651)675-5675 1111111111111 IN 111111111111111111111111111111 www.cityofeagan.com * E R 1 8 7 4 6 1 * Date Issued: 10/13/2023 Site Address: 3789 Briarwood Lane Lot: 7 Block: 1 Addition: The Woodlands PID:10-75875-01-070 Use: * 1 0 — 7 5 8 7 $ — 0 1 — 0 7 0 Description: Sub Type: Ductwork Work Type: Alteration Description: Comments: Fee Summary: ME-Permit Fee $64.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 Total: $65.00 Contractor: - Applicant - Owner: American Air Supply Dean M Tste Ammerman 11257 207th Ave NW 3789 Briarwood Ln Elk River MN 55330 Eagan MN 55123 (612)282-7568 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 F ----------------i i , I For Office Use I of I Permit#: a 4b I •..� •-,V Permit Fee: EAGAN I I Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I (651)675-5675 1 FAX: (651)675-5694 Staff: Email: buildinginspectionsto'-_citvofeagan.com -----------------J RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: v �0-1 v Site Address: -�7� r & ar w o 0( La-,,u e Unit M Applicant is: ❑ Owner Contractor Name: e0./V A-AA mt "/A-, IM `. Homeown-r Address: w�y� City:c N e ra✓� ty: 9 _ gt , State:/VV/Zi ( aa Phone: Email: Type of Work —New _Replacement _Repair Alteration _Remove Description of work: -Mm Furnace —Heat Pump I ��f " " Descrlpt on —Air Conditioner -Other U �`� �� (C ( ) j _Air Exchanger ,0 C Company: ktr, �"� , /U _Contact: AU�� n Lr0.UG� McChall�Ca� .:40 Address: II oZ � (��� /T"t N,(� City: Contractor n �� ° State: Zip: S Phone:(I I. u Email: u n License#: �0 L�C.l Expiration Date: RESIDENTIAL FEES $150.00 New Residential(includes State Surcharge) $65.00 Residential alteration,furnace,air conditioner,ductwork, or any combination (includes State Surcharge) $100.00 Residential fireplace(s)(includes State Surcharge) TOTAL FEES$ 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.citvofeagan.com/subscribe. 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 �ok V", DO �fo,uf-, X P & Applicant's Printed Name Appl cant's Signature FOR OFFICE USE Requirednspecttoffs Reviewed By Da to Underground ". Raugi Ir1.Fr AirTest Gas Service Test ° In,floor°#feat -Final