955 Butwin RdXt`na i- j `/ . < • ?
CITY OF EAGAN Remarks ?
_
Addition SPCti,?,jn 35 Lot Blk Parcel 1E1 035100 010 80
Owner?/?? t?.v Street State
I Improvement I Date I Amount I Annual I Years I Payment I Receipt I Date
STREET RESTOA
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERA'WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
6UILDING PER.
SAC
PARK
This requesl voiE ? t
18 nwnths fwm ?
/Z. SD
Rxnuest D3Prt
Navember 16 1983 Fire No. Rouph-in Inzpection
Requiretl7 ?
NPaaY N?w ?vyii Nourv1 i??sue?:-
, ?Yes M. When HeadY
Pq Licensetl Elechical Contractor I hareby request inspection uf ebove
? Ownvr eleclrical work installad at:
Street Addresv, 9ux ar Route Na. Ciiy
955 120th St. W. Eagan
ectwn o. Township Name or No.
ftange No.
Counly
I Dakota
Occupant (PPINT) Phone No.
Northern Natural Gas Co. 463-7134
Power SuppliBr Adtlress
B.E.A.. Farmington
Electriral Contracmr ICompany Namel Contractor's Lir.ense No.
Corrigan Electric Co. 0 39549 8
Mailing AdJress (COnvnctor or Owner Making Installation)
P.O. Box 475 Rosemount, minn. 55068
Aothoriied $ignamre (Convacto /Owner Making Installation) Phone. Number
; . ? ? •; ?
L
> 423-1131
,
i e?
* /b-b3Sc?o-oCa-?'Sb qb02a
MINNESOTA STATE BOAflryOF ELECTflIGITV THIS INSPECTION REQUEST WILL NOT
Griggs-Midway 91de. - Noom N-197 eE ACCEPTED BY THE S7ATE eOAflD
1821 Univarsity Ave., St. Paul, MN 55104 V UNLESS PqOPEH INSPECTION FEE IS
Phona 16121 297-2111 ENCLOSED.
REQUES7 FOTELECTRICAL INSPECTION es-ooaot:oa
u,
' See instructions far complating this form on back of Yellow coOV.
f ? 1 n v
(?' ?? '"X'" Below Work Covered by This Request ? wifoo Z,9
Nw1Add1 Rep.1 Tvoe ol euiltlina 1 Aooliancee Wirod I E9uipment Wired I
Water Heater
ice
Commerciai 61dg Fimnace Silo Unloatler
?ndustrial Bldg. Air Conditioner Buik Milk Tank
Farnt Othar pemfv ??hei (Sn?`<ity)
k Fee Sarvice Entrence5ixe # Fee Faedars/5ub1eede,s b Fee Circuitg
U to 200 qm s 0 to 30 Am s 0 to 30 Am>s
Above 200 Amps 31 to 100 qmps 31 to 100 q
Swimming Pool Above 100_Am s Above 100_Amps
TransPormers Irrigation Booms Partial-'Other Fee
aigns ? I ppeciai mspecuon iS 13.00
10
1, an L.c
Insoectoq heraby
certify thal the abova
Final ? ^, inspection has been
// ?7 maaa.
1-\ 13 110 q0o ,p
IITP* C!tyofaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2013 MECHANICAL PERMIT APPLICATION
❑ Please s bmit two (2) sets of plans with all commercial applications.
Date:
Tenant:
Site Address:
Cu) 51 1 l OMY1Jl) l J C(n f Suite #:
Name: B()bUc(d1 iDavc SSk Phone: 6'S'— 255— /77
Address / City / Zip: 1<\101)
L/ 5 +Goin /jth c, Gctr
Name: `JU tZ" 1 \\ aJ 1 License #: ()S 3OZ S— P! "
Address: 2200 I uU 1-1 y 13 City: ,1 tSY 1 (1c,
State: I " 1 `V Zip: ✓ J s J--) Phone: S 2.-7(47 /000
Contact: NLjUniAn Email: 111-10 cazr co ' Ccf
New ./\ Replacement Additional Alteration Demolition VorviDescriptionofwork: ( /'Ior' e. b1 (rr 1 n cae
Air Conditioner
Air Exchanger
Heat Pum
Other
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
_ Under / Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
_ $ lyv U TOTAL FEE
COMMERCIAL FEES:
$70.00 Underground tank installation/removal
$55.00 Minimum
*If the project valuation is over $1 million, please call for Surcharge
Contract Value $ x 1%
= $ Permit Fee
= $ 5.00 Surcharge*
= $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq
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.
Applicants Printed Name
x
Applicant's Signature