EA188866 - Plumbing - Water Heater - Issued Date 01/19/2024PERMIT
City of Eagana , , Permit Type: Plumbing
3830 Pilot Knob Rd .��EAGAN
Permit Number: EA188866
Eagan, MN 55122 �"' ""''
(651) 675-5675
111111111111 IN 11111111111111111111111111111111
www.cityofeagan.com * E R 1 8 8 8 6 6*
Date Issued: 1/19/2024
Site Address: 4175 Pennsylvania Ave
Lot: 16 Block: 2 Addition: Stafford Place
PID: 10-72500-02-160
Use: * 10 -72S00 -0Z— 160
Description:
Sub Type: Water Heater
Work Type: Replace
Description:
Meter Size Meter Tyne 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:
Good Guys Plumbing Richard & Svetlena Jones
2163 Bush Ave East 4175 Pennsylvania Ave
St. Paul MN Eagan MN 55123
(952) 2391-7200
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
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buiIdinginspections@cityofeaoan.com
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For
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I Permit
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I Permit Fee:
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Date Received: I
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Staff:
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RESIDENTIAL
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RESIDENTIAL PLUMBING PERMIT APPLICATION
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Date: Site Address: � )'/U/UJ %G !// / v (� Unit #:
Applicant is: ❑ Owner a Contractor
Name:
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Address: ZlJ
Homeowner
State,—Zi : ���1 Phone, /"�"%d"-�71 Email:
Type of Work
—New J -Replacement _Repair — Rebuild — Modify Space _Work in R.O.W.
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Description of work: L �� J
Tankless Water Heater
Lawn Irrigation (_ RPZ /_ PVB)
Description
p
,Standard Water Heater
Add Plumbing Fixtures (_ Main /_ Lower Level)
Water Softener
Septic System Description:
Connection to City Water from Well
_ New Abandonment
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Company: ®�✓ `' / c [/ �1/�'% clel� Contact: //W/7(
Plumbing
Address: CC� !��7 City: -SIS
Contractor
Statey,�
A�I Zip: /l Phone: Email. f G'I,,f
KC- �7��1D
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.gopherstateonecall.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 w ut a permit; that tPe work will be in
accordance with the approved plan in the case of work which requires a review and approval of pl %
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Applicant's Printe Name pp icant's Signature
FOR OFFICE USE
Reviewed By: Date:
Meter Size (if applicable):
Required Inspections: Under Ground Rough -In Air Test Gas Test Manometer Final
jr-1.