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EA189763 - Sewer & Water - Residential - Issued Date 03/20/2024 PERMIT City of Eagan , , , , Permit Type: Sewer& Water 3830 Pilot Knob Rd EAGAN Permit Number: EA189763 Eagan, MN 55122 ""' """ (651)675-5675 , 111111111111111111111111111111111111111111111111 www.cityofeagan.com * E R 1 8 9 7 6 3 * Date Issued: 3/20/2024 Site Address: 1038 Beatrice St Lot: 3 Block: 3 Addition: McKee PID:10-47750-03-030 Use: * 1 0 — 4 7 7 5 0 0 3 — 0 3 0 * Description: Sub Type: Residential Work Type: Sewer Only Description: Repair Meter Size Meter Type 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: Ouverson Sewer&Water Inc Michael S Zappa PO Box 247 1038 Beatrice St Loretto MN 55357 Eagan MN 55121 (612)751-6888 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 -----------------, For Office Usee,(� I a���►M, �,/'ts j Permit#:EAGAN I I I Permit Fee: I I I Date Received: I I I Staff: L---------------- 2024 SANITARY SEWER & WATER PERMIT Date: 3/20/24 site Address: 1038 Beatrice St Property Name: Mike & Robbin Zappa Phone: 612.396.2932 Owner Eagan, MN Address/City/Zip: Name: OUverson Sewer & Water INC License#: PB 807110 Cantra+ctor Address/City/Zip: 915 Blue Gentian Road, Suite 100, Eagan, MN 55121 Phone: 612-751-6888 Email: kelli@linemysewer.com Pipelayer Training Certification#: or Master Plumber License#: Property Use: Type of Service: Type of Work: 14 Residential ❑ Sanitary Sewer&Water ❑ New ❑ Commercial 14 SanitarySewer Only Wye Liner y �c.l Repair, Description: r❑yy�� Public Facility ❑ Water Only ❑ Disconnect 11CJ I 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 case of work which requires a review and approval,of plans. X Kelli Ouverson X Applicant's Printed Name 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) SanitaryLines Televised' Sanitary Sewer,lateral Verify Meter Configuration Sanitary Sewer trunk WatAr Only," Water supply&storage Conductiuity Test. Water lateral 'Hy,,rostatic-Test!- Water trunk Bacteria?est City SAC($142.50/SAG unit) Stand Pipe Inspection Met Council SAC($2,485/5AC unit) Wet tap Treatment Plant($1,154.70/SAG unit) State Surcharge $1.00 Additional Requirements: Total: City R-O-W Permit County i 64 Permit Plumbing Permit PRV Required 3830 PILOT KNOB ROAD I EAGAN, MN 55122 (651)675-5675 1 FAX: (651)675-5694 buildinginsaectionsacitvofeagan.com If you have a hearing or speech disability, contact us through your preferred telecommunications relay service.