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EA189930 - Mechanical - Furnace - Issued Date 04/08/2024 PERMIT City of Eagan a , Permit Type: Mechanical 3830 Pilot Knob Rd ` ` ` o A tr F Permit Number: EA189930 Eagan, MN 55122 EAGAN (651)675-5675 www.cityofeagan.com * E R 1 8 9 9 3 0 Date Issued: 4/8/2024 Site Address: 3452 Ivy Ct Lot: 9 Block: 01 Addition: The Woodlands North 2nd PID:10-75891-01-090 Use: * 10 - 75891 - 0 1 - 0790 * Description: Sub Type: Furnace Work Type: Replace Description: Comments: Fee Summary: ME- Permit Fee $64.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 Total: $65.00 Contractor: Owner: - Applicant - Marlys H Tste Hubbard 3452 Ivy Ct Eagan MN 55123 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 called �e�4 ,UlhenUSlgn N;rtfl2JLi3C-t5 t-tt1 t•nArL•bugbtluu8ui6t ----------_- 1^; For office Use --- 1 Permit 11: 189930 + has eo0I ( � EAGAI Permit Fee: .� E Date Received: 4/3/2024 3830 PILOT KNOB ROAD)EAGAN,MN 55122-1810 APR 0 3 2024 I (651)676-56761 FAX:(651)875.5694 �uStaff: Email:bulldinginspectionsaf'lcitvofeegm an ca .--.--------------a BY: RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: Alte Address: J ` C,=, " unit M. Applicant I ; Owner El Contractor Name: HOt1080Wt1@t:: Address: - ` City: .... ........ .. .�... i' SietebZip: Phone:(02 Email: F a 0,0 :. 10 Typeof..W.ork.:' --.—New -Replacement _Repair _,Alteration Remove Description of work: 7kK Ck� _Furnace Heat Pump `:De c 1ptlon.i ___ Air Conditioner Other iAir Exchanger Company: Contact: `MeChanlcal Address: City: :Contraotor..:, State: Zip: Phone; Email: License M Expiration Date: RESIDENTIAL FEES $460.00 New Residential(Includes State Surcharge) $66,00 Residential alteration,furnace,air conditioner, ductwork,or any combination(includes State Surcharge) $100.00 Residential fireplace(s)(Includes State Surcharge) TOTAL FEES$ You may subscribe to recelve an electronic notification from the City of proposed ordinances by eigning up for an email update on the City's website at www.cltvofeagan,comisubscrlbe. I hereby acknowledge that this informallon 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 permll,but only an application for a permit,and work is not to start without a permit;that the workwlli be In accordance with the approved pian In the case of work which requires a review and approval of plans, Mtl:en1,wrl' rCC9� t✓, ��L ' X ar!sNuhbard, Trustee 4/03/24 Ap llcant's Printe arne AVVcanVs Signature CE S :FOR 0 U FF f ........... Re A...ris actio' s� ba 1 ur id I d .Y� _Underground -:Rough Inr Test:t:^;'Oas Service Test :`In-floor Heat CPA a t`