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EA188148 - Sewer & Water - Residential - Issued Date 11/21/2023 PERMIT City of Eagan + , , ° Permit Type: Sewer& Water 3830 Pilot Knob Rd Permit Number: EA188148 Eagan, MN 55122 ��_• __.. (651)675-5675 EAGANRURN www.cityofeagan.com * E A 1 8 8 1 4 WR * Date Issued: 11/21/2023 Site Address: 4096 Halite Lane Lot: 28 Block: 5 Addition: Cedar Grove 7th P1D:10-16706-05-280 Use: * 1 0 — 1 6 7 0 6 — 0 S — 2 E Description: Sub Type: Residential Work Type: Sewer Only Description: Repair Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Please call Utilities at(651)675-5200 for water turn ons,shut offs and meters. Please call Engineering at(651)675-5646 to schedule inspections. Fee Summary: Surcharge-Fixed $1.00 9001.2195 SW- Sewer Permit Fee $80.00 6201.4532 Total: $81.00 Contractor: - Applicant - Owner: ASAP Underground LLC Anthony P Thompson 2355 Fairview Ave,Suite 371 4096 Halite Ln Roseville MN 55113 (612)222-5502 Eagan MN 55122 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 M -----------------, For Office Use e* •�+ j Permit#: I Permit Fee. EAGANi �..► I / I Date Received: i 1` � I I I I I Staff: L---------------- 2023 SANITARY SEWER & WATER PERMIT Date: 11/20/23 site Address: 4096 halite In Eagan MN 55122 F�roprty "', Jesse kohlbeck Name: Phone: 612-382-5541 ©weer. Address/City/Zip: 4096 halite In Eagan MN 55122 ' Name: ASAP UNDERGROUND License#: PC664926 Cdr}ra�tOr Address/City/Zip: 2355 Fairview Ave Roseville MN 55113 Phone: 651-361-9443 Email: dispatch@asapmn.com Pipelayer Training Certification#: or Master Plumber License#:PC664926 Property Use: Type of Service: Type of Work: 14 Residential ❑ Sanitary Sewer&Water ❑ New Dig 5ft deep descale and clear blockage ElCommercial Sanitary Sewer Only 14 Repair, Description: ❑ Public Facility ❑ Water Only ❑ Disconnect ❑ I understand that new water connections require a separate Plumbing Permit and associated meter fees. 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. XConnor Hobson X Applicant's Printed Name Applicant's Signature ba y z , 1, ONL �,ub � ° � � R�© IGE`USE , m r Fees ' Required Iw�specttons�� Sapttary� wer Orly a Sanitary Sewer Permt ($SO QOM anitaty, ewer Air fest Water�errnit'{$80 p0); Iviand ei Test S&W°Repeir/D'itc'nnett( '90,'00) �. San�tdryLines Tel v�setl _. Sanitary Sdw t lateral ' a �fy 4eter Con4g,0 anon Snit�ry ,trunk Water Only, Wa#.er suPpiy storage Conductivity Test a51' do ti 7 st Waterleera is 1`ero d f✓ ,,,` k d• " - o 'fi O4.1rlY�a�q a.W A,to �L �9it til i F �I t l NI 1 Ci A $13$q0/SAS 0rtt� a Stantf hr inseion {a ' W f 1 llllet Ootanci�+ �, 4 / A�r�Uhit �, i ; Uitet 7 r d u x Tre tm2nt inti$ ;1 0/sic unit} E �zAA i d _ a _ i a State S'�[rChs rge" "GIP �a� �um� � $� 00 �Addrtr n�l� dquifem+ tits T bt8l :� ?, rty2 rel/Prt4 bio _ 6, t ermit; 011Atnbiiig Permitt% mkd PI Rgired r 3830 PILOT KNOB ROAD I EAGAN, MN 55122 (651)675-5675 1 FAX: (651)675-5694 buildinainsoectionsacitvofeaaan.com If you have a hearing or speech disability, contact us through your preferred telecommunications relay service.