EA189408 - Plumbing - Water Softener - Issued Date 02/27/2024 PERMIT
City of Eagan Q Permit Type: Plumbing
3830 Pitot Knob Rd Permit Number: EA189408
Eagan, MN 55122E A
(651)675-5675 JMH
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Date Issued: 2/27/2024
Site Address: 2066 Bluestone Dr
Lot: Block: Addition:
PID: ®®
Use:
*
Description:
Sub Type: Water Softener
Work Type: Replace
Description:
Meter Size Meter Tvpe 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:
Milbert Company(Culligan) HAI P&KELSI M LE
1801 50th St E 2066 Bluestone Dr
Inver Grove Heights MN 55077 Eagan MN 55122
(651)451-2241
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
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Am IL 1111 I For Office Use
ARL EL EPermit#: Q ,I
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I Permit Fee: —'� ,.! �
j Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 1 FAX:(651)675-5694
buildinginsoections ancitvofeaaan com Staff:
-----------------I
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:' �n' �I
Site Address: V`, Y�r,�
/' `�^��V �.• Unit#:
Applicant is: 13 Owner Contractor
Name: tom`
Homeowner 4 ,,.� �� „_ ,.,
Address: C/UVJ
City:
State: Zi Pho�
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Type of Work —Now �Replacement _Repair —Rebuild _Modify Space —Work in R.O.W.
Description of work:
_Tankless Water Heater
_Standard Water Heater ___._Lawn Irrigation(�RPZ/_PVB)
Description Water Softener _Add Plumbing Fixtures (_Main/—Lower Level)
Septic System Description:
_New Abandonment —Connection to City Water from Well
CContact:
Contact:
Plumbing A'EIRgi
Contractor city: _ [
Stat)_Zip -� Pho66A- '1"� ot
L�11_c�i'� mail:
License#: Expiration Date: `A
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)
s
TOTAL FEES $
CALL BEFORE YOU DIG. Contact Gopher State One Call 454-0002 or wwwgoohrttq —
damage. Contact Gopher State One Call 48 hours before youu intend
for protection against underground utility
ntend to . esaeonecall ordig 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 Cy 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; t the work will be in it
accordance with the approved plan in the case of work which requires a review and approval o Ian
Appitcant s Printed Name Applicant's Signature
[Re7quired
CE USE
Reviewed By: Date:
(if applicable):
nspections: _UnderGround ____,Rough-In Air Test Gas Test Manometer
Final