EA188472 - Plumbing - Water Heater - Issued Date 12/13/2023 PERMIT
City of Eagan s Permit Type: Plumbing
3830 Pilot Knob Rd �m*;-� Q�°,d�, Permit Number: EA188472
Eagan,MN 55122 ®-
EAGAN
(651)675-5675
www.cityofeagan.com * E A 1 8 8 4 7 Z
Date Issued: 12/13/2023
Site Address: 3004 Timberwood Tr
Lot: 063 Block: 02 Addition: Timberwood Village
PID:10-76800-02-063 [nil 1111111111111111111111$1�R11 111111111111111111111111111111
Use: * 1Q - 76800 - 02 - 063 *
Description:
Sub Type: Water Heater
Work Type: Replace
Description:
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:
Spiess Plumbing Inc John W Jr Bottomley
493 Bear Avenue South 3004 Timberwood Trl
Vadnais Heights MN 55127 Eagan MN 55121
(651)248-3853
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 Usei
op' I
♦ � I Permit#: I?% I
EAGAN
Permit Fee:
Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX: (651)675-5694 I Staff:
buildinginspections(o-)cityofeagan.com I-----------------J
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: J Site Address: )�U � wU I r� 1 Unit#:
Applicant is: ❑ Owner Contractor
Name:
Homeowner
Address: � � � � �
State: UZi Phon9r 1'ZLfG L� 3D Email:
Type of Work —New �K-Replacement —Repair _Rebuild —Modify Space —Work in R.O.W.
Description of work:
Tankless Water Heater
Standard Water Heater Lawn Irrigation(—RPZ/—PVB)
Description Add Plumbing Fixtures L _Main/—Lower Level)
p Water Softener
Septic System Description:
Connection to City Water from Well
New
� Abandonment
Company:11 ( �c��–(' 6�1^''�'i� L Contact: S�i�
Plumbing Address:g9 t'S-Ytt�t ('✓-Z S City: j� -.ori-SsCS
Contractor J
State —Zip:-�,A Phon�( ,) �'Z�0Email: P�-^� ���C2rC9��
License#: 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.ciopherstateonecall.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 app oval of plans.
Applicant's Printed ame Ap licant's Signature
FOR OFFICE USE
Reviewed By: Date:
Meter Size(if applicable):
Required Inspections: Under Ground Rough-In Air Test Gas Test Manometer Final