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EA189268 - Sewer & Water - Residential - Issued Date 02/16/2024 PERMIT City of Eagan , , , Permit Type: Sewer& Water 3830 Pilot Knob Rd % ': Permit Number: EA189268 Eagan, MN 55122 EAGAN(651)675-5675 �,_.,� www.cityofeagan.com * E R 1 8 9 2 6 8 Date Issued: 2/16/2024 Site Address: 2109 Emerald Lane Lot: 4 Block: 7 Addition: Cedar Grove lst PID:10-16700-07-040 Use: * 10 — 16700 - 07 - 040 �k Description: Sub Type: Residential Work Type: Sewer Only Description: Repair Meter Size Meter Tyne Manufacturer Serial Number Remote Number Line Size Comments: Please call Utilities at(651)675-5200 for water turn ons, shut offs and meters. Please call Engineering at(651)675-5646 to schedule inspections. Fee Summary: Surcharge-Fixed $1.00 9001.2195 SW-Sewer Permit Fee $80.00 6201.4532 Total: $81.00 Contractor: - Applicant - Owner: Roto Rooter Daniel John 011ila 14530 27th Ave N 2109 Emerald Ln Plymouth MN 55447 Eagan MN 55122 (763)519-3977 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 r For Office Use—��——���I�—_��___ I Permit#: Gly/ I I EAGAN Permit Fee: I I I Date Received: I I I I t j Staff: I r-------------------- 2023 SANITARY SEWER & WATER PERMIT � Date J-1VSiteAddress: 9 { ry7 Q s`��, ( y Property Name: Da i'1 / f l 1(C� Phone: go� � Owner c Address/-City/Zip: (0 Name: !ld ` C?° U f rv---- License#: _PM 6a 5y(yG "j.-7 Address/City/Zip: .. i -n ) -5,5-'(1-'12 Contractor ` 1 j Phone: /r C 7] JJ�j ,Email: Kf`3.1 _ Pipeiayer Training Certification#: _ or Master Plumber License#: 'lrl 05 Property Use: Type of Service. Type of Work P-Residential ❑ Sanitary Sewer&Water ❑ New ❑ Commercial P'Sandtary Sewer Only IR Repair, Description:C� d C; 1 :rl Stir N.� c7 ❑ Public Facility ❑Water Only ❑ Disconnect ❑�1 understand that new water connections require a separate Plumbing Permit and associated meter fees. 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 cajseJ of work which requires a review and approval of plans. x �(.�d'' ,rG.r 'f•`r t'7 t'�'yl��r}��, x �" .. �� 7i Applicant's Printed Flame Applicant's Signature FOR OFFICE USE ONLY Fees: Required inspections: Sanitary Sewer Only Sanitary Sewer Permit($80.00) Sanitary Sewer Air Test Water Permit($80.00) Mandrel Test S&W Repair/Disconnect($80,00) Sanitary Lines Televised Sanitary Sewer lateral Verify Meter Configuration Sanitary Sewer trunk Water Only Water supply&,storage Conductivity Test Water lateral Hydrostatic Test Water trunk Bacteria Test City SAC($139.00/SAC unit) Stand Pipe Inspection T' Met Council SAC($2„485/SAC unit) Wet Tap Treatment Plant($1,126.00/SAC unit) State Surcharge $1.00 Additional Requirements: Total: City R-O-W Permit County R•O-W Permit Plumbing Permit PRV Required 3830 PILOT KNOB ROAD I EAGAN, MN 55112 (651)675-5675 i FAX: (651)675-5694 buil cihlcin,W cti�ggno ityofeaUi n.corn If you have a hearing or speech disability,contact us through your preferred telecommunications relay service.