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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 ����(�www.cityofeagan.com 4uL0J 8;I l* 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 *M-0-v r-------- -- ——————— Am IL 1111 I For Office Use ARL EL EPermit#: Q ,I Q I E A Ar It 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� �.%' 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