EA188144 - Plumbing - Water Heater - Issued Date 11/20/2023 PERMIT
City of Eagan , , , Permit Type: Plumbing
3830 Pilot Knob Rd �,;%, Permit Number: EA188144
Eagan,MN 55122 EAGAN
(651)675-5675
www.cityofeagan.com * E A 1 8 8 1 4 4
Date Issued: 11/20/2023
Site Address: 1395 Sigfrid St
Lot: 1 Block: 4 Addition: Wilderness Run 5th
PID:10-84354-04-010 11111111111 HUM
Use: * 10 - 84354 - 04 - 0 10 *
Description:
Sub Type: Water Heater
Work Type: Replace
Description:
Meter Size Meter Tyne Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL-Permit Fee(WS&/or WH) $64.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
One Hour Heating&Air Javier&Corina Cabrera
15191 Boulder Ct 1395 Sigfrid St E
Rosemount MN 55068 Eagan MN 55123-476
(651)437-4177
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
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Date Received:
3830 PILOT KNOB ROAD ( EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX: (651)675-5694 Staff:
buiidinginspections _cityofeapan.com ----------------
RESIDENTIAL PLUMBING PERMIT APPLICATION
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Date:{ 1 Site Address: �}� �Ck '�
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Applicant is: ❑ Owner M Contractor
Name:
Homeowner 11 (' t
Address: City:
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—New Replacement Repair Rebuild —Modify Space —Work in R.O.W.
Type of Work , — —
Description of work:
Tankless Water Heater
Standard Water Heater Lawn Irrigation (_RPZ/_PVB)
Description Water Softener Add Plumbing Fixtures(�Main/—Lower Level)
Septic System Description:
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New Abandonment
Connection to City Water from Well
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Company. )" � 1 /I "�"l'f'.c��l �f�I Contact: � � �ni,��� /
Plumbing � Address:} � � ( �,�,v c, City:
Contractor
Sta4e Zip: 1 G} Phone.(�ts 15) 4)`6911 -2)t 1 mai ' ' jH
License#. �i ll� J G7 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.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.
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Meter Size(if applicable):
Required Inspections: Under Ground Rough-in Air Test Gas Test Manometer Final