EA188319 - Plumbing - 01 of __-plex - Issued Date 12/04/2023 PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd :, Permit Number: EA188319
Eagan, MN 55122 ••-• ••-• EAGAN
(651)675-5675
111111111111 IN 11111111111111111111111111111111
www.cityofeagan.com * E R 1 8 8 3 1 9 *
Date Issued: 12/4/2023
Site Address: 4121 Durham Ct
Lot: 088 Block: 04 Addition: Diffley Commons
PID:10-20450-04-088 lull 111111111111111111111111 Hil 1111 HE 11�1111 11111�111111111
Use: * l0 - 20450 - 04 - 088 *
Description:
Sub Type: 01 of_-plex
Work Type: Alteration
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: - Applicant - Owner:
Knights Plumbing LLC David Karlson
304 Iris Lane SW 4121 Durham Ct
St Michael MN 55376 Eagan MN 55122
(763)286-9941
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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t �� I For Office use j
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`•�• .��� EAGAN I Permit#: I
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�. j Permit Fee: I
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: I
(651) 675-5675 1 FAX: (651)675-5694
buildin ins ections citvofeagan com i Staff:
I
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: y ` � ---
Unit#:
Applicant is: Owner Circontractor
Name:
Homeowner
Address: City:
Zf
State Zip: Phone' -'1=mail:
Type of Work —New Replacement —Repair _Rebuild Modify Space _Work in R.O.W.
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Description of work: /
Tankless Water Heater
Standard Water Heater Lawn Irrigation(,RPZ/ PVB)
Description Add Plumbing Fixtures C._Main/_Lower Level)
P Water Softener
Septic System Description:
Connection to City Water from Well
New Abandonment
Company: U Contact: > /njzy
Plumbing Address: city:
Contractor
State Zip: Phone: Email:
Lj
License#: 17 Z Expiration Date:
RESIDENTIAL FEESJ � <l
$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) l�
$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) 7
TOTAL FEES $
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www•
herstateonecall.org for protection against underground utility
da age. Contact Gopher State One Call 48 hours before you intend to dig to receive I ates of underground utilities.
I h eby acknowledge that this information is complete and accurate; that the work II a in conf t to startwith
the without ordinances
finances and odes of the City
In
Ea an; that I understand this is not a permit, but only an appli ' it, a d work
ac rdance with the pr ed plan in the case of work which re uires a review an
tans.
ac plic s
licant's rin e N e
FUA OFF USE Date:�_...
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