4279 Amber DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4279 Amber Dr
Lot: 16 Block: 7 Addition: Cedar Grove 2nd
PID:10- 16701 - 160 -07
Use:
Description:
Sub Type: e - Furnace
Work Type: Replace
Description: Furnace
Comments: Expired Perm
Fee Summary:
Contractor:
Gopher Heating & Sheet Metal
12330 Ottawa Ave
Savage MN 55378
(952) 890 -3466
PERMIT
City of Eaan
Closed w/o Required Inspections. Letter sent. 12/10/2008 pf
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec
952- 445 -2840
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
- Applicant -
Owner:
Mike D Schoenborn
4279 Amber Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA081902
02/07/2008
ePermit
cal Inspector,
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
. . ;?.
EAGAN TOWNSHIP
N.a 665
UtLD1NG PERMIT
Owner /???G???•-- _. ----t... re'eii .._.._ - -•---------- ...... r---- • Eagan Township
Address (p:es ) ---??{---1'__ - ----- --- --------• - Town Hall
Builder ---•--...-? •-------•---...--• ..... ...................................................... --• &K ?
Address Date?---`-"'?r --=---- .........................
DESCRIPTION
Stories To Be sed For Front Depth Height Est. Cosf Permit Fee Remarks
LOCATION
StreeY, Road or er Descrip3iom of Loeation ! Lot Elock` Additi n ar Tract
P7 4 ke-1 > I / ?p ? ?•
?
This permit dces not authorize #he use of stxee#s, roads, alleys or sidewalks nor does it give the owner or his agenY
the right to creafe any situation which is a nuisance or which preseafs a hazard to the health, safefy, convenience and
general welfare to anyone in the communi .
THIS PEFtMIT MUST BTy'? T REM L-WHILE THE WORK IS IN PROGRESS.
This is to certif that ................. __ ___;to _.. . ___._ ?has permissio to erect a_ ___. ___ _.._._______u on
y, ???l?'?----- ----- ---- P
the above described P I P remise sub'e t the rovisions of the Buiidin9 ? rdinaace fo n doPted APril 11, '
1955.
Y.?---
---------•-•- -•-------- ---------------------------------------------------------- ----- ` --- --- °- --- ------- - -----?--- ---•-- -• --• --------- - - ----- •- -- --
Chairman of Town Board Bu n InspecYor
?
EAGAN TOWNSHIP
?
N_
. BUILDING PERMIT
,
Owner.. .-?--.. •-......... ' - • - --- • -- J- -•------ -• i - ! Esgan Township
Aaaress (p:esen:) .---? - ....'-- ----- --- - --. .
-•-•- ?Q._ _-• Town Hall
Suilder ..............
-••.••--_?-?'._?..r_._G.------ ------- /
•••--•.. .----------
Date 2? ------- 7 .......n_ .------
. .
Address ................................ -.........................................................
DESCRIPTION
Sfories To Be Used Fo'r Front ` Depth Heighf Est. Cost Permit Fee Remarks
?--
/
. LOCATION
Street, Road oiher Descripfion of Localion I Lot Etock Ad@ition or Tract ?
Thi p ii does not suihorize the use of streets, roads, alleys or sidewalks noF, does ii give fhe owner or his agenY
ihe ' ht Yo create any situation which is a nuisance or which presents a hazard, to the health, safety,. convenienee and
general welfare to anyone in the communiiy. . , '
THIS?PERMIT MUST B K PT TH HE?E W ILE THE WORK IS IN PROG?ES -
This is !o cextify, thaf.??,?? ?phas permiss?on fo erect a??___ ,. .????14n..?_____________upon
the -abave described premise subject io the provisions of the $uildiag Ordinance g n ToEVns? adopied April 1 L
1955. ? ?
i
??- ?
--------- -- - -----•- ----- - ---- ---- - -- - ---- --- -- - P r ?
-- --?'- -=----- ,..----- -•- - - -- - - -
Chairman of Towri Board r ug ing Inspeclor
-. '
.
CITY OF EAGAN Remarks Ced2T' Grov'e Acc?uisition
Addition Cedar Grove #2 16 10 16701 160, tY(
'
Lot Bik 7 Parcel
Owner 2 Street 4279 .Amber Dr. State EagaT]',MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 885
STREET RESTOR.
GRADI.NG
SAN SEW TRUNK
?3cSEWER LATERAL 1972 1304.00 2.16 2 Pa7,.d
WATERMAIN
'%?ATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PAR K
CITY OF EAGAN
3795 Pilot Knob Rood Eogon, MN 55123 NO 7402
u PHONE: 454-8100
BUILDING PERMIT Receipr
To be wed faMCNE ARIWAY Est. Value $500.04 Date JLi3.Y 27 19$2'
Site Addreu 4279 DTiV@ Erect ? Occupancy
Lot 16 Block 7 Sec/Sub. C@td8r G"rtfV@ 2!!d Alter kk Zoning
Parcel # 10 16701 160 07 _ RepoFr Q Flre Zone
Enlorge ? Type of Const.
W Nome '1'hOmlB & F:titf!BTiit P@$@trSil33 Move Stories
? Address 4279 AA1bElr DriVlr, Demolish ? Length
Ci d 55122 Phane ?'?2-216$ Grode ? Depth Sq. Ft.
? Name OMl'113?' Approvals Fes
o
u
Address
Assessment
Fermit 11.90
?
~
` Woter & Sew. $urchorge
Cit Phone
Police Plan check
u W Name
? ?„
Fire
SAC
?? Address Enp. Water Conn.
<W Ci Phone Pionner Woter Meter
CounCii Rood Unit
1 hereby ockrrowledge that I have reod this opplication ond state thct gldg. Off.
the informotion is correct pnd ogree to camply with oll opplicoble APC Totol ?1-?
?d
Stqte of Minnes+ota Stotutes and City of Eogun Ordinonces. ,,
Sipncture of Pe?mittee
A Building Permit is issued ta- Thomas e' ????sen on the Express conditian that
oll work sholl be done in occordance wi oll oppliwbl o of Mi
oo, esoto Stctutes ond Gity of Eagen Ordir?ances.
$uilding Official
? CITY OF EAGAN Include 2 sets of plans,
1 site plan w/el.evatians &
tAo0E BUIIDING PERAT APPLICATYON 1 set of energy calculations.
To Be Used For Valuation Date -7-?
SitJe Address : A- w, gif? ?
? t`i? OFFZCE USE ONLY
I'?ot Bloclc ? Sec. /Sub ?k,(' Gwu e z n` Erect pccupancy
Parcel # : 10 t ?7 O I ? ?D? 0-7 :,Alter )11_? Zaning
R{epair
e ?`ire Zone
OHmer: D w10.?3 0?` ?- ? n ?`? ??,?B?S?'/\ ?-?e 'Iype of Const.
Address: b'C- I Move ;
Demalish # Stories
Fxont ft.
CitY/Zip Cod,e- S-, I 2? Grade Depth ft.
Phone # : APPRQVAL.S FEES
contractcw: ?W vL Assess-nents permit C I,
Addressz Water/Sewer Surcharge
Police Plan Check
? City/Zip Code: Fire SAC
Phone #: En3• Water Cann.
Planner Water Meter
Arc1?./Eng.
:
unci1.
Co I?ad Unit
Bldg. Off.
Address: APC
CitY/ZiP Codec .
Phorbe # s RC7TAL
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1993 MECHATTICAL PE;RMIT (RESIDENTIAL)
CITY OF EAGAN
3830 FILO`.f KNOB RD
EAGAN MN g5122
(612) 6814675
PLEASE COMPLE'I'E FOR STNGLE ` FAMII.Y DWEi,LINGS. ALSO, FOR TOWNHC3MES AND
COND4S WHEN PERMITS ARE REQt1IRED FOR EACH UNIT.
-----«----------------------- --------------- - a------------ -------?_____ ??...._???_:...._,._:.._w.?_..--•----
NEW CONSTRtJCTION
_ x ADD-C3N A!e
_ x ADD-ON FURNACE
DATE October 28, 1993
FEES
HVAC: 0-1 UO M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00 `
GI=1S C7UT"LETS (MTNI1ViUM 1 7a $3.00 EACH)
ADD-ON/REMODEL (ExISTI1vG CoNSTRUCTioN) $ 15.00
STATE SURCHARGE .Sfl
TOTAL Replace existing furnace $.15.50
Y-
? ?? ??DRESS:
OWNER NAME: Tom & Mary Poersen TELEPHONE #: 452_1168
IlNSTALLER: FREDRICKSON HEATSNG & AIR CONDITIONING, INC.
ADDRESS• 3650 Kennebec Dr. #101
CITY: Eagan STATE: m ZIP C4DE: 55122
TELEPHONE #: 452-2775
?
SIG ATL7 OF PERMITTEE
? . . . . . . . . . .. . J
lr
1993 MECHANICAL PERMIT (COMIERCIAL)
CITY OF EAGAN
3834 PIIAT KNOB RD
: EAGAN MN 55122 :
(612) 6814675
PLEASE COMPLETE FOR ALL GOMMERCIAI.JINDUSTRIAL BUILDINGS. ALSO CQWLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH IJWELLING UNIT.
------------------------?----- --..--_-----------__-•__----.---------
DA'd'E: ^ONiRACT r rcii,E: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
i l % Cr CFEE ?
PROCESSED PIPING: $25.00
I
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FQR EACH $1,000 FEE.
<..... ...: .........
TOTAL $
SITE AillT)RESS:
'
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRES5:
CITY: STA'TE: ZIP C4DE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
..
. . .. . . . :. . . . . ,... .W.t_: .; . <:;.. T
CiTY WSE ONlY
. , ? ? gL ? REc?IPT#:
_?..
suBD. C? ?26L/r REcEEPT oArE:
, 1997 PLUM`BlNG PERMl7 (RESlDENTtAL)
CITY OF tAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(812) 589-4675
Ptease complete for: ? singie family dweilings
? townhomes and condos when petmits are required for each unit
? backflow preventer for underground sprinkler system
F,lX..T.UBES EACk! NO. IML
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3:00 x
Lavatory 3.00 x=
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x
3.00 x
Floor Drain t 3.00 x =
Gas Piping 0utlet " minimum -1 . 3.00 x =
Rough 4penings 9.50 x =
WBteF SOftef1BP " for dwellings under constroeUon 5.00 x =
Water Softener * for •xisting aweiiing 20,00 x =
U.G. Sprinkler " for dwelling under const. 3.00 =
U. G: Sprinkler * tor existing dwening ` 20:00 - ?
Altefat1011S " to existing residence 20.00 =
Water Tum Around 20.04 =
Private Disposal System " aak Cty iia 75.00
(new and refurbished systems)
Private Disposal Systems * Abandonrnerrt 20,00 =
STATE SURCHARGE .50
a
ToTAL a? s
?
t hereby adcnowledge that ( have read this appticcation, state that the information is corted, and agtee to tompfy wdh aU applicable City
of Eagan ordlnances. !t is the spplicanYs responsibitity #o notify tha; property owner that tfie Cihr of Eagan assumes no liability for any
damages caused by the City during its nomial qperational and maintenance acfivities to the fadlfts cmnstructed under #his permit vvithin
CiEY ProPer'tYhigM-o#-way/easement
SITE ADDRESS:
OWNER NAME`.
INSTALLER NAME: `t?,r 1.,g, l„C'i„t'`_ `? TELEPHONE #: YI 4 y
STREET ADDRESS: - 46C2 1- CITY: STATE: ZIP:
/ AAa-j?'
SIGNATURE F PfJ(MITTEE"
2oos REStDENTiAL BUILDING PERMir APpLicATIoN
- - - ?
Date
Tenant:
Suite #:
I hereby acknowledge that this information is compiete 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 permif, and woYk is not to start without a permit; that the vvork wiil be in
accordance with the approved plan in the case of work which requires a review and %,oval fplans.
x hn,? W
Applicant's Printed Name p icant's Signature
Page 1 of 3
i- --------------:i
Cit of Ea an , PBrmft
y I I Permii Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 r scaff: i
Fax: (651) 675-5694 i ?
. . . . . . . . ----------------J
2008 RESIDENTIAL $UILDING PERMIT APPLICATION
Date: t 3 110 Site Address: q27/ Q `'? 501 DI?I1' F
Tenant• : Suite #-
RESIDENT / OWNER Name: MIKE J CH 00009N Phone: bv &O 14• q131?
Address ? ?ity / Zip: 4279 A M g?K Aftg rr-A 6A N. M N MZ 2
Applicant is Owner VGontractor
TYPE OF WORK Description of work: 9E' Koor
Construction Cost; 4 4100
. 00 :Multi-Family Building: (Yes / No ?
CONTRACTOR Name: G/t TI?KIOa I NNOVATION5 f IVC,License #: 9310
Address 7 &3J 14UM90LT: f#Y r S
City: 34OO1•! IIY 171 O/Y State: MN Zip: S??f 3?
OfMb)l K
Phone: 7 .72. M_I • QO l7 Contact Person: if
COMPLETE THtS AREA ONLY IF CONSTRUCTlNG A NfW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota RulesJ672
E11@I'gy COde . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
CBtCgOry Submitted Submitted
(4 submission type) • Energy Envebpe Calculations Submitted
In the last 12 months, has the Cfty of Eagan issued a permit for a similar pian based on a master plan?
-Yes _No Ifyes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractorc Phone:
Sewer & Water Corrtractor: < Phone:
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 plansIdo
x ? ?K OLS?'lU X , Applicant's Printed Name Applicant's Signature
Page 1 of 3
. . ? . r._--_____ . ___
. . ? . . ? .?. ? ? . . . ?
? . . .?.. ? ? .... ?? . ? ? ? ?
City Df Ea?11 Permit #: ? I I
I Perrnit Fee: ?
3830 Pilot Knob Road
Eagan MN 55122 ? Date Received: ?
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff: t
I I
----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
?
Date: ?vB Site Address: t ? I ! /?'+'/b'P? .
Tenant:
C
V'\
Suite #:
. r_-- __- + --^--- ^- - - -
? #JAN ?? ?? Permit #' ?
Ol i 3830
1 PermltFee: Eagan iMN 551 2Road 2,5 2048 I ?
Vj/"Date`Receiv d: ,D?- 0? ,
Phone: (651) 675-5675 8 ,
Fax: (659) 675-5694 j staff: . ?'
.
L"_-'_-_---- -^--- I
oos RESIDENTiAL PLUMBt G PERnniT.APPLicaTtoN
Dafe: /02 ?+ fJ? Site Addr _ _ •
Anne Morrow
Tenant:. 4279 Amber Drive Suite #:
Eagan, MN 55122
RESIDENT / OWNER Name: 6516869136 Phone: ,
Address / City r _-
CONTRACTOR Name: ? License #: ?(!/ 1? i.xt
Address; 2-! O \
City: Statec Zip: 55q-o?
Phone:C 1Y12? D-Z7 ? T01J Contact Person: ?e ?J S
TYPE OF WORK ? New Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Descriptlon of work:
PERMIT TYPE RESIDENTIAL .
I? Water Heater Water Softener
Lawn Irrigation AddPiumbing Fixtures
(_ RPZ PVB) Main _ Lower Level)
Septic System Water Tumaround
New .
Abandonmen#
RE3dDENT{AL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) .
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (incfudes $.50 State Surcharge)
*Water Tumaround (add $136.00 it a 5/8"
meter is requir _
ed)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)- .
$90.50 Fire Repair (replace burned out appliances, duchvork, etc.) (includes $.50 State Surcharge) 59.
TOTAL FEES $ 50 . i hereby acknowledge that this information is complete and accurafe; that the work will be in conformance wKh the ordinances and codes of the City of
Ea an• th
g at 1 understand this is not a permit, buY oNy an application for a permit, and work 's not to start wifhou a permit; tFtat the work witl be in
. accordance with the approved plan in the case of work which requires a review and approv
X?1e-1?'?e,t?i ?. Nt oY b! `X .
AppiicanYs Printed\uhme A IicanYs Sfg` ature
- - - - - - ? - -' - - - ? ?: .. .?_ . . ... .. . . . ... ..... .s ? tx'?.'.`y.:??'.?".F??;:'?.'?sYn-,,,.y. •.? ..?.,_???Sr'Y'?.v? ---??u". ,.?"r",.a.???'?'?.;'??.im??c "T?",y? .r",?'.:''?`=_
i
, ��
, Use BLUE or BI.AGK Ink �f��,:
� Fat Otfice Use---------� ��
i v" �
� I Pertnit#. �� ��� I .A'��'�
G� of Ea a� � . . ��� � �� � _ ��
� � Permd Fee. I7
3830 Pilot Knob Road � �
Eagan MN 55122 ' i Date Received: �����-� �
Phone:(651)675�675 � �a� i
Fax:(651 j 675-5694 � �
. . L�����������.��.�..��.J
20'15 RESIDENTIAL BUILDING PERMlT APPLICATION
�
Date: J� U� Z� i r� Site Addrress: �2�� I'�'���r � Unit#:
Name: ��'ili S �S�t /r-S / l-L � Pnone: ���. 2 j5 ,z-�j2�
R+�s�der�t! � r�� s� � <
� �C�wner ����� Ada�ss r c�ty�z�p: � ��� S � k ��P �- I�t/� C��t � 5 S.���-
APPIicaM is: �Owner �CoMrador �!'
r.
Tj�f'�Qf Wt11"k Description of vwrk: �� /1 ( 5� �C� �'���" / f��' �
cl�.;
Construction Cost:� ��O 4 ' '" Mu�i-Family Buiiding:(Yes /No�
Company: ..,J'�i'v�',� .5t'/► �C1,� ��J���:�d�!� ,�l��orrtad: ���'l�� ''1
�ontractar �y�S ���'�sr GC� �/" c� �
aaa�gs: ,�,- ,qma C
State:�Zap: cSS�� �Phone: �l S� 2(S Zy2 YEmaiC �fQ�Pdl s�� �o�Sf/�'G�` �'� _C e�e�^
License#:�C- ��� � �� Lead Certificate#: !U �r�' '�" t� �p ��T— �
If the project is exempt fram lead certification,pfease explain why: �Q`��� �
COMPLETE THIS AREA 4NLY IF CONSTRUCTING A NEW BUiLDING
In the last 12 months,has the City of Eagan issued a pem�it fo�a similar pian based on a master pian�
Yes No If yes,date and address of master plan:
Licenaed Plumber. Phane:
Mechanical CoMractor. Phone:
Sewer�Watier CoMractor: Phone:
Fire Suppression Contractor. phar�:
� �V�4,�'(�����l H�'.������M����4QI�����..��.�F!f!l��V;��4���,���M31�W'�. :
1�l�`�/1�4R�8#ti�/l�#1$j��C����!'#[�ft�111�1��,�Qi#�?I�IF�,Sj���C';1�$#�.R��dti��;I��'+�.�'�: .
Gltt/►CIt�+B�. �t�lt�d�5��.
CALL BEFORE YOU DIG. CaU Gopher State One Caii at(651 j 454-0002 for protection agair�st underground utility damage. Call 48 hours
before you irrtend to dig to receive locat�of underground utilities. vwvwaooherstateonecali.ora
i hereby acknowledge that this information is complete and a�urate;that the work wili 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 plar�s.
Exterior work authorized by a building permit issued in accardance with the Minnesota State Building Cade must be completed wlthin 180
days of permit issuance.
x �t'Ui�� �t �U"�r►.S�t'� � x
Applicant's Prinfied Name Applicant's ' nature
Page 1 of 3
�
.`� ��� H'{1��(,� • DO NOT WRITE BELOW THIS LINE ( �� ��
f�
SUB TYPES
� Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
� Single Family , Garage � Porch(4-Season} _ ExteriorAlteration(Multi)
_ Multi _ Deck _ Porch(ScreeNGazebo/Pergolaj _ Miscellar�eous
_ 01 of_Plex �/ Lower Levei � Pool _ Accessory Building
—7`'
WORK TYPES
_ New _ Interior Improverr�ent _ Siding _ Demolish Buiiding*
_ Addition _ Move Building _ Reroof _ Demolish Irrterior
� AtMration _ Fine Repair _ WFrtdows _ Demolish Foundation
_ Replace � Repair _ Egress Window _ Water Damage
_ Retaining Wail *Demotition ot entire building-give PCA handout to applicant
DESCRIPTION
Valuation � '� Occupancy �� MCES System
Plan Review Gode Edition ������' SAC Units
(25%_100%�) Zoning � City Water
Census Code T Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Repuired
Type of Construction Width
REQUIRED IIVSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final!C.O. Required
Footfngs(Additfon� �G Finai/No C.O.Requlred
Foundation � HVAC_Gas Service Test Gas Line Air Test
Roaf:_Ice&Water _Final Pool:TFootings _Air/Gas Tests +Final
�G Framing Drain Tile
Fireptace:_Rough In Air Test _Finai Siding:_Stucco Lath Stone Lath Brick
� lnsulation � Wlndows ��,� � ��,� C,�� ��. �"+�,��.�
Sheathing Retaining Wall:_Footings_Backfill_Finai
Sheetrock Radon Control
Fire Walis Fire Suppression:�Rough in_Finai
Braced Walis Erosion Control
Other:
Reviewed By: �� , Building inspector
RESIDENTIAL FEES �
Base Fee �
Surcharge �/��
Plan Review �
MCES SAC
City SAC u� � � /� �
Utility Connection Charge � � � l V �j -f
/
V
S�W Permit�Surcharge
Treatment Piant �j
Capies
TOTAL �"`��`��
� Page 2 of 3