EA188611 - Plumbing - Water Heater - - Issued Date 12/27/2023PERMIT
City of Eagan
Permit Type:
Plumbing
3830 Pilot Knob Rd
Eagan, MN 55122
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EAGAN
Permit Number:
EA1886ll
(651) 675-5675
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www.cityofeagan.com
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Date Issued:
12/27/2023
Site Address: 4622
Ridge Cliffe Dr
1/2
Lot: 2 Block: 09
Addition: Johnny
Cake Ridge 4th
PID:10-39803-09-020
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11H
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Use:
* 10-39803-09-020*
Description:
Sub Type: Water Heater
Work Type: Replace
Description:
Meter Size Meter Tvne 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:
Clearwater Plumbing & Heating Cynthia Suneson
19260 Mushtown Rd 4622 1/2 Ridge Cliff Dr
Prior Lake MN 55372 Eagan MN 55122
(952) 440-3779
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 Use
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�k t r I� Permit #:
EAGA
Permft Fee: s 1
Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 DEC 2 7 2023
(651) 675-5675 I FAX: (651) 675-5694 I staff.
buildinginspectionsCa�cityofeagan.com BY; t-----------------
RESIDENTIAL PLUMBING PERMIT APPLICATION
12/28/23 4622 1/2 Ridge Cliff Drive
Date: Site Address: Unit #:
Applicant is: ❑ Owner ® Contractor
Name: Cynthia Suneson
Address: 4622 1/2 Ridge Cliff Drive Eagan
Homeowner
City:
State: MN _Zip: 55122 Phone: 651-338-1356 Email: CLTISU@GMAIL.COM
Type of Work
-- New ✓ Replacement _ Repair _ Rebuild — Modify Space _ Work in R.O.W.
Description of work: Replace 40 gallon gravity vent water heater
Tankless Water Heater
Standard Water Heater Lawri Irrigation (_ RPZ /_ PVB)
Description
Water Softener Add Plumbing Fixtures (_ Main /_ Lower Level)
Septic System Description:
Connection to City Water from Well
New Abandonment "�""
Company: Alta Heating and Plumbing, Inc. Contact: Susan
Plumbing
Address: 19260 Mushtown Road City: Prior Lake
Contractor
MN . 55372 952-440-3779 . susan@clearwaterphc.com
State: Zip. Phone: Email.
PM060886 12/31/2024
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 $ 68.00
CALL BEFORE YOU DIG. Contact Gopher State One Cali at (651) 454-0002 or www.clopherstaleonecall,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 approval of plans.
XSusan Schiink X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Dater
Meter Size (if applicable):
Required Inspections: _ Under Ground —Rough -In _Air Test _Gas Test _ Manometer _Final
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