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EA187910 - Plumbing - Fixtures - Issued Date 11/07/2023 PERMIT City of Eagan , & , ® Permit Type: Plumbing 3830 Pilot Knob Rd %,,�', Permit Number: EA187910 Eagan, MN 55122 EAGAN (651)675-5675 www.cityofeagan.com * E A 1 8 7 9 1 0 Date Issued: 11/7/2023 Site Address: 941 Jefferson Lane Lot: 7 Block: 2 Addition: Lexington Pointe 3rd PID:10-45072-02-070 VU Use: * 10 - 45072 - 02 - 070 * Description: Sub Type: Fixtures Work Type: Replace Description: bath, sink,toilet Meter Size Meter Tyne 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 Scott J&Kathryn A Kluegel 5010 Hwy 169N 941 Jefferson Ln Brooklyn Park MN 55428 Saint Paul MN 55123--260 (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 ---------------- For Office Use 1 AM 0 AFM Permit#: i �g► o E C E i y�p I Permit Fee: AW I ERs I Date Received: I I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 NOV 0 6 2023 1 I (651)675-5675 ( FAX: (651)675-5694 1 U I Staff: 1 build inginspections(a)cityofeagan.com BY. I---------------- RESIDENTIAL PLUMBING PERMIT APPLICATION 11/6/23 941 Jefferson Ln Eagan,�MN 55123 Date: Site Address: Unit#: Applicant is: ❑ Owner 14 Contractor Name: Scott KI U eg e I Homeowner Address: 941 Jefferson Ln city: Eagan t State: MN Zi 55123 Phone: 651-783-621E Email kluegel6@gmail.com Type Of WOrk'c —New Replacement —Repair _Rebuild _Modify Space _Work in R.O.W. Direct replacement of existing shower wet space, wall surround, and plumbing fixtures. �t Description of work, Tankless Water Heater Lawn Irrigation (—RPZ/—PVB) Standard Water Heater — Descri tion V/ Add Plumbing Fixtures (L(Main/ Lower Level) � p Water Softener Septic System Description: bath, sink, toilet New __Abandonment Connection to City Water from Well — _ Company: MN Rusco � Kelli Gugisberg p y Contact: I 5010 Hwy169 N New Hope Plumbing ( Address: City: p Contractor State., Zip.. Phone:MN 55428 952-935-966 Email. kelli@minnesotarusco.com I I PC805612 12/31/23 I License#: Expiration Date: i^ 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) I $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.aopherstateonecall.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 a�a&& Applicant's Printed Name Applicant's ig ture 61 FOR OFFICE USE Reviewed By Date: Meter Size(if applicable): Required Inspections: Under Ground Rough-in Air Test Gas Test Manometer Final