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EA188494 - Mechanical - Ductwork - Issued Date 12/20/2023
PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob '+' EAGAN Permit Number: EA188494 �s Eagan, MN 551222 `••' ••-' (651)675-5675 www.cityofeagan.com * E R 1 8 8 4 9 4 Date Issued: 12/20/2023 Site Address: 1292 Balsam Tr E Lot: 006 Block: 001 Addition: Wilderness Run 6th PID:10-84355-01-060 11111 Use: * 1 0 — 8 4 3 S S — 0 1 — 0 6 0 Description: Sub Type: Ductwork Work Type: New Description: install supply in basement bathroom,new fan Comments: Fee Summary: ME-Mechanical Residential Alteration $64.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 Total: $65.00 Contractor: - Applicant - Owner: Erickson Plumbing Heating Air Electrical Duong Thai Pham 1471 92nd Lane NE 1292 Balsam Trl E Blaine MN 55449 Eagan MN 55123 (763)783-4545 This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature LM 1V14- ---------------- 1 1 ® 1 For Office Use I % ',� I 1��4°Iq- s� 1 Permit#: 1 s.,.• „:wt G�, EAGAN I Permit Fee: I I Date Received: j 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I (651)675-5675 1 FAX: (651)675-5694 1 Staff: 1 ' Email: buildinainspectionsna cityofeagan com ___________------ RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: 12/14/2023 Site Address: 1292 Balsam Trail East Unit#: Applicant is: ❑ Owner ® Contractor { 1 Name: Duong Pham Homeowner Address: 1292 Balsam Trail E. City: Eagan State: MN Zip: 55123 Phone: 612-205-9800 Email: New _Replacement Repair —Alteration Remove Type,of W, — — ��.,. ' Description of work: install supply in basment bathroom, install new bath fan Furnace Heat Pump D@$drl3flbn' Air ConditionerX Other — Air Exchanger t Company: Erickson Plumbing Heating Air Electrical Contact: Meohn + al` Address: 1471 92nd Lane NECity: Blaine Contr;rlctof n; w State: MN Zip: 55449 Phone: 763-783-4545 Email: AJindra(p�_ihearterickson.com fi License#: MB005261 Expiration Date: 07/01/2024 RESIDENTIAL FEES $150.00 New Residential(includes State Surcharge) $65.00 Residential alteration,furnace, air conditioner,ductwork, or any combination (includes State Surcharge) $100.00 Residential fireplace(s)(includes State Surcharge) TOTAL FEES $ 65.00 You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 1 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. X Alex Jindra x Applicant's Printed Name Applicant's Slonat#Ve F©Ft(7FF,ICE"USE: .; Ftequlred Inspecti�iris� . ttdutewedy: Dade. Undergro�rrtdN i2iiaghlnz' Alr,Test GasSePvlce,TOst '! Irl-floor Heat.. FInaI "