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EA187805 - Plumbing - Fixtures - Issued Date 11/07/2023City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.cityofeagan.com PERMIT Permit Type: Plumbing Permit Number: EA187805 A Ki I IsElffin 11oll 1E.1 115.1 Mill I.E.1 Intl[ NEINI .111 IKV e / •.tee ®s® * E R 1 8 7 8 0 5 Date Issued: 11/7/2023 Site Address: 3597 Birchpond Rd Lot: 5 Block: 1 Addition: Terra Glenn 2nd PID:10-75401-01-050 IT IT 11111111111111111111 IN Use: * 10-75401-0 1-0S0* Description: Sub Type: Fixtures Work Type: Replace 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: Owner: Judith A Tste Albrecht 3597 Birch Pond Rd Eagan MN 55122 - Applicant - Phis permit shall be null and void if work does not start within 180daysof issuance, or if work is suspended for 180 days or more after ;tarted. hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State A Minnesota Statutes and City of Eagan Ordinances. Applicant/Permttee: Signature Issued By: Signature r. I For Offfca U%A k, j ' 1 .... ifRES I g q qq j g Mate i is{'" ��r 20;,'�3 I 5 9 7 BiI' ,17�:ioI id F1, oad .U�,...m f ( t t 01N11,7e r City staSe' Vw Zip, �-� J�i_ Phone,�.}____._ rrn�rl!<<�•i '��d. � ._� s�, " �. _ 1..- },pc of rr few Replacement Repair Rebuild Modify Description of work Tankless Water Heater Lawn Irrigation (� RPZ I PVB} Standard Water Heater Descr'tp tfon Water Softener Add Plumbing Fixtures Main I Lower Level) .. � " Septic System Description Connection to City Waller from VVell New Abandonment Company: ���� --�C...1 �-{ 1 ���ontact 4..�•�f��_"�. F1kjrrrbTnc ,A(,sdre-s mei _ 7(J 7 ALc>��mil fj-5' -City: c ,� ra cIc r — _ Slafc' � %4 Zip; .. /(} Phone_...... *"r tFfct 'l tsIleo D a € J_j Expiration Date RESIDENITIAL FEC:' .�".a 5 ,.:' .., R i, ntjal or Gnnne c.tion to City Water (includes Stat: Surctj,irq VVP"(r : OM.">ne:r, or Water f' ,:ter and Softener (includes Shite Surcha:Oe 6w.h,dc�, St=ate Surchargr ) or reinoOng r ipfrin (!relic „ St.a ) S. !rri1f31Ta�� a �.F i�.e .tet „ai„ �. • . 3 �,.f i ,( { :,, e -k ',t ., 1 ' i it i r Is f " (: .'t i1�Jt i I;JJi•�a tt� d,Yl ia�'V ° at i ti�x ft5r 'U 1 �,S t " .. 0 ..;ahr 3 intr ntd to dio to rece:14(,, Int ati (if tmdergro kind 2)tt'it.a=y. +, 5'? r; i f, - t r)�+',itY +w �� ,. .'tt`..1}:, i'�itt ! f, .;t!Ph `,1 it bo !n t7i'nlciii ,.3 , 1Y'{. thc' t? 7„: il.l. ., .1 ,'t Code',' o lle C11"i of ` 1 rt 1k r Pry fAll WHY 'M ) Il'r: (Il r )t 1 177! 1 t 1 7tS(f. r,{7t t') slarl \L !haul 1 tli;ilhi jhat the 1Vollk w!l bo In e fal)Ga it arlt°s f'rrtlt.fParrlr �r'�I In7t tte @f ]] OV-ME tpp p t/^�[^ USE r r' �..+ i'S tJ d' t ` f 4r E.,. l� n3 ta.. i d p m A Det@: [Otter t !z” (If cep .l;ti`.: C'ufE;h j Required Inspections: Under ("Tound Roij h In Air I ont Gas Test _-- ManometerFinal