EA188867 - Plumbing - Fixtures - Issued Date 01/19/2024_LA W1
City of Eagan
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Permit Type:
Plumbing
3830 Pilot Knob Rd,,EAGAN
Eagan, MN 55122
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Permit Number:
EA188867
(651) 675-5675
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www.cityofeagan.com
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Date Issued:
1/19/2024
Site Address: 4701
Oak Way
Lot: 001 Block: 002
Addition: Vienna
Woods
PID:10-81950-02-010
Use:
* 10-8 1950-0Z-0
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Description:
Sub Type: Fixtures
Work Type: Alteration
Description: Bathroom Remodel
Meter Size Meter Twe
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:
LaBrash Plumbing Suzanne Kay Grieger
306 4th St 4701 Oak Way
Farmington MN 55024 Saint Paul MN 55122-233
(651) 448-0189
'his 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
tarted.
hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable Stat(
f Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
o a + r A
EAGAN
a�.�•• �m,.r
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 i FAX: (651) 675-5694
bulid inginspectionsCcD-cityofeagan.cam
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1 For Office Use
I Permit #: I
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Permit Fee:
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Date Received: I I
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Staff:
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RESIDENTIAL PLUMBING PERMIT APPLICATION
1/19/2024 4701 Oak Way, Eagan MN 55122
Date: Site Address: unit #:
Applicant is: ❑ Owner 0 Contractor
Suzanne Grieger
Name:
Address: 4701 Oak Way City: Eagan
Homeowner
MN 55122 651-452-4122d
State: ,Zip: phone: Email:
Type of Work
— New — Replacement _ Repair Rebuild ✓ Modify Space — Work in R.O.W.
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7etltrl �v)b, * YvotI � fn Shower ex'i s-hrn9. Will be-
Description of work: r'e O
Description
Tankless Water Heater
Lawn Irrigation (— RPZ /— PVB)
Standard Water Heater
Description
p
Add Plumbing Fixtures (___- Main /— Lower Level)
Water Softener
Description:
Septic System
Connection to City Water from Well
_ New _ Abandonment
LaBrash Plumbing and Heating {�,,,
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Company; Contact: I
Plumbing
Address: 306 4th St City. Farmington
Contractor
MN 55024 651-444-655E off icemanager@Iabrashph.cU'
State: Zip: Phone: Email:
PC797911 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 $
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www,goi)lierstateonecall.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.
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Analicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Meter Size (if applicable):
Required Inspections: Under Ground Rough -In Air Test Gas Test Manometer Final
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