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EA188005 - Plumbing - Fixtures - Issued Date 11/13/2023 PERMIT City of Eagan , , Permit Type: Plumbing 3830 Pilot Knob Rd ,_s;o Permit Number: EA188005 Eagan,MN 55122 ~- EAGAN (651)675-5675 111111111111111111111111111111111111111111111 www.cityofeagan.com * E R 1 8 8 0 0 E Date Issued: 11/13/2023 Site Address: 668 Brockton Cur Lot: 10 Block: 6 Addition: Hills of Stonebridge PID:10-32990-06-100 Use: * 10 - 32990 06 — 100 Description: Sub Type: Fixtures Work Type: New Description: Bathroom 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: Owner: - Applicant - Barbara Mary Mcmahon 668 Brockton Cury Eagan MN 55123 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 0 I Permit#: EAGAN •��� Permit Fee: I Date Received: I I I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I (651)675-56751 FAX: (651)675-5694 I Staff: I build inginspections(&cityofeagan.com I-----------------J RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: (c)n ✓ c cAZ-�6", C Unit#: Applicant is: 0.Owner ❑ Contractor Name: �f ,`C—', McLjW6-\ Homeowner Address: T-.*,->% C'-C; c 1Z -�J' L_CU­0� city: �-� State ?k✓ Zi . S Phone` a Email LQ t'lr ck" XA`'k-Cko L �- Lar Type of Work —New _Replacement _Repair —Rebuild —Modify Space —Work in R.O.W. Description of work: Tankless Water Heater Standard Water Heater Lawn Irrigation(—RPZ/—PVB) Description Add Plumbing Fixtures(—Main/Lower Level) p Water Softener Septic System Description:j`0 < < 1�)q New Abandonment Connection to City Water from Well 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.gopherstateonecall.ora 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. Applicant's Printed Name Applicant's gnature FOR OFFICE USE Reviewed By: Date: Meter Size(if applicable): Required Inspections: Under Ground Rough-In Air Test Gas Test Manometer final