EA188571 - Plumbing - Single Fam - Issued Date 12/21/2023PERMIT
City of Eagan
Site Address: 654 Witham Lane
Lot:2 Block: 1 Addition: Woods Of Witham Lane
PID:10-84850-01-020
Use:
Eagan,
Permit Type:Plumbing
Permit Number:EA188571
EA188571*
Date Issued:12/21/2023
Permit Category:ePermit
10-84850-01-020*
Description:
Sub Type:Single Fam
Work Type:New
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Applicant: Kristin Robinson
16411 Aberdeen St Ne
Ham Lake, MN 55304
651) 392-5374
krobinson@airmechanical.com
PayPal Reference #: AG0A7B80C863, 12/21/2023; Total Payment $150.00 (Permit Fees: $150.00)
Fee Summary:PL - Plumbing New Residential $149.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
150.00Total:
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.
Contractor:Owner:- Applicant -
651) 392-5374AirMechanical
16411 Aberdeen St NE
Ham Lake MN 55304
763) 434-7747
Applicant/Permitee: Signature Issued By: Signature