EA189452 - Plumbing - Water Softener - Issued Date 02/29/2024 PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd 8,;4�, Permit Number: EA189452
Eagan, MN 55122 EAGAN
(651)675-5675 111111111111 IN 11111111111111111111111111111111
www.cityofeagan.com * E R 1 8 9 4 S Z *
Date Issued: 2/29/2024
Site Address: 4295 Lodgepole Dr
Lot: 20 Block: 1 Addition: Evergreen Park
PID:10-24880-01-200
Use: * 10 - 24990 0 1 - 200
Description:
Sub Type: Water Softener
Work Type: New
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary:
Total:
Contractor: - Applicant - Owner:
Water Conditioning Inc Eugene&Joann Vanoverbeke
6002C Excelsior Blvd. 4295 Lodgepole Dr
Minneapolis MN 55416 Saint Paul MN 55122-185
(612)267-6700
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
----------------
For Office Use 1
I
0 +t 1 Permit#:EAGAN 1
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Permit Fee:
Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I j
651 675-5675 FAX: 651 675-5694 1 Staff:
( ) ( ) �
buildinginspections a.citvofeagan.com 1-----------------
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: v� 171 2— Site Address: 42 5 Unit#:
Applicant is: ❑ Owner contractor ---�
Name: 6 er, ►.►N
Homeowner Address: -' Lockd ,e- -N-- city: ECL QK1 0,3
GqqI
State:M� Zip: �' -L-Phone: 1- Z Email:
Type of Work —New �Y Keplacement _Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work: Vy C1 1- Q�
Tankless Water Heater
Standard Water Heater Lawn Irrigation(_RPZ/_PVB)
Water Softener
Description Add Plumbing Fixtures(_Main/_Lower Level)
p
Septic System Description:
New Abandonment
Connection to City Water from Well
Company:/V��v rbm l qj i 7 n Contact: U&/
Plumbing Address:L0 7 C, �xe�S t'cr a City:
Contractor
State:M� Zip: �'O�-[ 0 Phone: (2- 210-7-6-7Email:
License#:-\ALL (O a Z7 Expiration Date: 2" 3
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)
$65.00 Septic System Abandonment(includes State Surcharge) i
TOTAL FEES$ (p
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 without a permit; that the work will be in
accnce with the approved plan in the case of work which requires a review and apryrovat olylans.
X171 ! t �<.�r VJ x � r iLB�
App icant's Printed Name App ant's Signature
FOR OFFICE USE
Reviewed By: Date:
Meter Size(if applicable):
Required Inspections: Under Ground Rough-In Air Test Gas Test Manometer Final