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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 ----------------- For --------iFor Office Use I Permit I I I I Permit Fee: I I I I Date Received: I I I I Staff: I ----------------- RESIDENTIAL ---------------- RESIDENTIAL PLUMBING PERMIT APPLICATION -/ Date: Site Address: � )'/U/UJ %G !// / v (� Unit #: Applicant is: ❑ Owner a Contractor Name: �� 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. o , /7 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 �c/�� 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 % �ljll /i X 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.