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EA187782 - Plumbing - Fixtures - Issued Date 11/02/2023 PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd ,,• Permit Number: EA187782 Eagan,MN 55122 •-•• ••-• EAGAN (651)675-5675 1111111111111 IN 11111111111111111111111111111111 www.cityofeagan.com * E R 1 8 7 7 8 2 * Date Issued: 11/2/2023 Site Address: 641 Witham Lane Lot: 9 Block: 2 Addition: Coventry Pass 2nd PID:10-18401-02-090 Use: * 1f0 - 18401 - 02 09 D * Description: Sub Type: Fixtures Work Type: Alteration Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Fee Summary: PL-Plumbing Permit Fee $64.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 Total: $65.00 Contractor: - Applicant - Owner: Minnesota Rusco Greg&Karen Svendsen 5010 Hwy 169N 641 Witham Lane Brooklyn Park MN 55428 Saint Paul MN 55123--393 (952)935-9669 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 ----- e t I For Office Use '7 G I O �b02 1 �r ' I Permit#: 1 EAGAN I 1 ®�.• ®!�� 1 Permit Fee: I I 1 �j Date Received: " I I 1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1 I 651 675-5675 FAX: 651 675-5694 Staff: ( ) I ( ) buildinginspectionsacitvofeagan.corn ——————————— ----- RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 10/31/23 Site Address: 641 Witham Ln Unit#: Applicant is: ❑ Owner 14 Contractor Name: Karen Svendsen Womeowrier Address: 641 Witham Ln City: Eagan MN 55123 612-251-152Eg kdksvendsen comcast.net State: Zi . Phone: Email: New IV/ Replacement _Repair _Rebuild _Modify Space Work in R.O.W. 7ype�ol�'1Nark — — Description of work: Direct replacement of existing shower wet space,wall surround, and plumbing fixtures. Tankless Water Heater Lawn Irrigation (_RPZ/_PVB) Standard Water Heater De3Crl tlOn Add Plumbing Fixtures(_Main/_Lower Level) p Water Softener Septic System Description: shower, sink, toilet Connection to City Water from Well New Abandonment Company: MN Rusco Contact: Kelli Gugisberg Plumbang. Address: 5010 Hwy 169 N City: New Hope Contratnrr., MNkelli@minnesotarusco.com 952-935-966 kelli@minnesotarusco.com State: Zip. Phone: Email. License#: PC805612 Expiration Date: 12/31/23 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.gopherstateonecall.org for protection against underground utility 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; 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 Kelli Gugisberg X Ae& Applicant's Printed Name Applicant's ggrikure FOR oFf`ie�VS die r ...h Reviewedy. �I°� Date Meter Size(tf appilcable r Requtred'',Inspct rid . q', Uid er,Gro�ihd Rough In Arr 7es� Gds Test" Mlanatneter'