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EA188100 - Plumbing - Single Fam - Issued Date 11/17/2023 PERMIT City of Eagan 4 , Permit Type: Plumbing 3830 Pilot Knob Rd ���;*_ �;�F°� Permit Number: EA188100 Eagan,MN 55122. E A G A N (651)675-5675 1111111111111 IN 11111111111111111111111111111111 www.cityofeagan.com * E R 1 8 8 1 0 0 * Date Issued: 11/17/2023 Site Address: 4979 Royale PI Lot: 26 Block: 3 Addition: Eagan Royale PID:10-22475-03-260 Use: * 10 - 2z47S - 03 - 360 * Description: Sub Type: Single Fam Work Type: Alteration Description: Shower wet space,wall surround,fixtures 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 Samuel S IV Thorpe 5010 Hwy 169N 4979 Royale PI Brooklyn Park MN 55428 Saint Paul MN 55122--338 (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 I ® 0 Ip I Permit#:� a I6 i I Permit Fee: I I I I Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I j (651)675-5675 1 FAX: (651)675-5694 Staff: buildinginspections6i' cityofeagan.com ———————————————— RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 11/17/23 site Address: 4979 Royale PI Eagan, MN 55122 Unit#: i Applicant is: ❑ Owner � Contractor ) Name: Lynelle ThorpeN�..��...,���..�.. � N Homeowner Address: 4979 Royale PI City.. Eagan State: MN Zi 55122 Phone: 612-998-348' Email: skip.s.thorpe@gmail.com Type of Work —New V Replacement —Repair —Rebuild —Modify Space —Work in R.O.W. Description of work: Direct replacement of existing shower wet space,wall surround, and plumbing fixtures. Tankless Water Heater Standard Water Heater Lawn Irrigation (—RPZ/—PVB) V Description Water Softener Add Plumbing Fixtures(—Main/—Lower Level) Septic System Description: shower/tub New Abandonment Connection to City Water from Well Company: MN Rusco Contact: Kelli Gugisberg Plumbing Address: 5010 Hwy 169 N City; New Hope Contractor state: MN Zip: 55428 phone: 952-935-966..c Email: kelli@minnesotarusco.com i PC805612 12/31/23 License#: Expiration Date: RES I DE NTIA L 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 ��' o��L;e Applicant's Printed Name Applicant's ig ture FOR OFFICE USE Reviewed By: Date: Meter Size (if applicable): Required Inspections: Under Ground Rough-In Air Test Gas Test Manometer Final