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EA188569 - Plumbing - Fixtures - Issued Date 12/21/2023City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.cityofeagan.com PERMIT Permit Type: Plumbing A r A K' Permit Number: EA188569 * E R 1 8 8 S 6 9* Date Issued: 12/21/2023 Site Address: 3235 Hill Ridge Dr Lot: 095 Block: 07 Addition: Robert Karatz PID:10-41300-07-095 11111111111111111111 IN 11111111111 IN 11111111111 M Use: * 10-4 13007-07-09S* Description: Sub Type: Fixtures Work Type: Replace Description: Tub & Toilet Meter Size Meter Ty pe 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: Pioneer Plumbing Contractors Inc Justine Anderson 1502 Forest St 3235 Hill Ridge Dr Hastings MN 55033 Eagan MN 55121 (651) 285-5351 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. 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State Df Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature For Cliff" Use I 0 I ' Perrmt FeeEAGANOk ; t i i 3830 ILOT KNOB I (651)(,75 567 ROAD I EAG, MN 55122-1810 i D.uilgtn ins ' (FAX (051) 675-x694 i 9- ..1ipn rity�f gqn cotn RESIDENTIAL PLUMBING PERMITPPLI�TI.. Date; ►Z.. --� S;Z, dress: 3 Sia VAt1_l_. R1�a1� t P, Unit Applicant is ❑ pwner ntractor Name: .aJ C�N� aNAGRt t Address: 3235 v1iL� Ri D(�� ASS, City: E jet ler State: M g Zi .�� 11 PhonE; b1 t ' Mb2' `j i1�} Finaif Type Of vVOCk New Replacement Repair Rebuild Modify Space, Work in R () W t Description of work: Tankless Water Heater L)e.�Cri}otRcan Standard Water Heater _ Lawn Irrigation (_ RPZ (� PVB) !! — Water Softener Add Plumbing Fixtures ( f Main I_ Lowcr Level) — Septic System Description: RE.pi_ACIc x1�i t�,4 Tc New Abandonment — Connection to City Water from Well I __- - ! I Company: P1Dr,Ct.R Pt impart Czaa Ci2PctioR S n -�_�� Contact �v,..s-Ci�.�vr� PlUnIbift � 'Address:: 4�0. �aX. 33y d Contractor City: 0/\n STtnat S State: Nits Zi SSb33 p -_ _ Phone: bSl° Z`bS,S3St Email; lice"na �yor,err jl ., License#: Expiration Date: 1-7° 3 I zy 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) t $65,00 Septic System Abandonment (includes State Surcharge) TAL FEES CALL BEFORE YOU DIG, Contact Gopher State One Call at (551) 454-0002 or wwvo n, damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locatesrofaunderyro nd utilities, -- �f org for protection against urdergrn�nJ rfti'ity, I hereby acknowledge that this information is complete and accurate; that the work will Eye in oonfor0 Ou with Elie Eagan, that I understand this is not a permit, but only an application for a permit and work i, not to start accordance with the approved plan in the case of work which requires a review and a ordinances and codevof the City bf approval of olara without a pe it: that the .`^•�,%f ...--^` work saviit be k,) AppUcarit'sPrinted Name x r` z f.i('fnr ;�IPn (I� nt (.' •..1 L) n\, _ .e...._.. Under Ground Rourz?i-ln