EA187557 - Plumbing - Single Fam - Issued Date 10/25/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(65 1) 675-5675
www.cityofeagan.com
Site Address: 3394
Lot: 16 Block: 2
PID:10-15501-02-160
Use:
PERMIT
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EAGAN
Rolling Hills Dr
Addition: Bur Oak Hills 2nd
Description:
Sub Type: Single Fam
Work Type: Alteration
Description: move sink and dishwasher
Meter Size Meter Tyne Manufacturer
Comments:
Permit Type: Plumbing
Permit Number: EA187557
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Date Issued: 10/25/2023
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Serial Number Remote Number Line Size
Fee Summary: PL - Plumbing Permit Fee $64.00 0801.4087
Surcharge -Fixed $1.00 9001.2195
Total:
Contractor:
$65.00
Owner:
Tames A & Mary B Tstes Thirsten
3394 Rolling Hills Dr
Eagan MN 55121
- Applicant -
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
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Issued By: Signature
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinoinspections(dcitvofeaaan.com
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EAGA
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
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Applicant is: Owner ❑ Contractor
Name: AA A16J jD_��TF=�4
Address:3 ` I I
1 City:
Homeowner
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States" iKiZi Phone:
Type of Work
— New — Replacement —
/Space —QW(o/r�k
Repalir — Rebuild /�j�r,Modify
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in R.O.W. /-�
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Description of work: rn OV'R �� n
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Tankless Water Heater
Lawn Irrigation (— RPZ /— PVB)
Standard Water Heater
Add Plumbing Fixtures (—Main /— Lower Level)
Description
Water Softener
Description:
Septic System
Connection to City Water from Well
New Abandonment
Company:
Contact:
Plumbing
Address:
City:
Contractor
State: Zip: Phone:
Email:
License #:
Expiration Date:
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)
$65.00 Lawn Irrigation (includes State Surcharge)
$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.aooherstateonecall.org for protection against unaergrouna utuiry
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; thaM work will be in
accordance with the approved plan in the case f work which requires a review and approval of plans.
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Annlicant's Prin ed Name AppliCan s Sign tore
FOR OFFICE USE
Reviewed By: Date:
Meter Size (if applicable):
Required inspections: Under Ground Rough -in Air Test Gas Test Manometer Final
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