EA188298 - Plumbing - Water Softener - - Issued Date 12/01/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
Site Address: 3300
Lot: 048 Block: 05
PID:10-41300-05-048
Use:
PERMIT
g a a Permit Type: Plumbing
EAGAN g A 1 0 P
a Permit Number: EA188298
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Date Issued: 12/1/2023
Valley Ridge Dr 48
Addition: Robert Karatz
Description:
Sub Type: Water Softener
Work Type: Replace
Description:
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Meter Size Meter Type 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:
Milbert Company (Culligan) Levy & Vatima Mcintosh
1801 50th St E 3300 Valley Ridge Dr
Inver Grove Heights MN 55077 Eagan MN 55121
(651) 451-2241
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
)a
EA%.3AN
i`
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675.5675 1 FAX: (651) 675-5694
buildinginspections rpcityofeaoan con
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f For Office Use
Permit ii:
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Permit Fee:
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Date Received:
Staff:
-----------------
RESIDENTIAL PLUMBING PERMIT APPLICATION �✓,) (-A `
Oaf r c Address: a
Applicant is: Owner >vrJ Contractor
Name:
f- omeown'er Addie
Stale:
Typo of.Work'
Unit fl:
SSP V ' .�H. v It— .
City: _
Zi ��%;-nee mall;
_ New .Replacement -- Repair —Rebuild _ Modify Space — Work in R,O.W,
Description of work:
_____ Tankless Water Heater
Descripti -✓ Water Softener
_ Septic System
New Abandonment
— Lawn Irrigation (^ RPZ /__ PVB)
Add Plumbing Fixtures (_ Main /_ Lower Level)
Description:
_ Connection to City Water from Well
Company: MILBERT COMPANY dba CULLIGAN
Contact: BILL MILE3EF T -�
Plumbing'" Address: 1801 50TH STREET EAST INVER GROVE HEIGHTS
Gontraetor city: --
MN 55077 651-451-2241 SERVICE M
CULLIGAN4WATER,CO
Stale: Zip: Phone: Email:
__ _ License fl: WC643176
__—__- Expiration Date:
RESIDENTIAL FEES
$100.00 New Residential or Connection to City Water (includes State ,Surchargey___
S60,00Water Heater, Water'Softener, or Water Heater and Softener (includes Slate Surcharge)
$60,00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding, altering, or removing piping (includes Stale Surciaargc)
$115.00 New Septic; System (includes County fee and Slate Surcharge)
$60.00 Septic System Abandonment (includes State Surcharge)
TOTAL FEES $
CALL GEFORE YOU OIG. Contact Gopher State One Call at (651) 454-0002 or www, gopherslateonecall.org for protection against underground utility^
damage. Contact Gopher State One Call 48 hours before you intend to dig to recewe locales of underground utilities.
I hereby acknowledge that this inforrnalion 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 permil, 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 approv of lans.
Applicant's Printed Name �(`C x
Applicant's Signature
FOR OFFICE USE
Roviowod.E3y: Dato:• ,
Meter Siic';(if appllcatle)
Regirired`Itjsp"ections::: ... _Under.Ground ." 44.
_Rough=lra Air Test
Gas Test Manometer �, Final