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4619 Cambridge Dr PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA086029 Eagan, MN 55122 . Date Issued: 09/15/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4619 Cambridge Dr Lot: 27 Block: 4 Addition: Beacon Hill PID 10-13500-270-04 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Sela Roofing Remodeling Cynthia M Cowan 4100 Excelsior Blvd 4619 Cambridge Er St. Louis Park MN 55416 Eagan MN 55122 (612) 823-8046 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 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 " Date Issued: (612) 681-4675 SITE ADDRESS: f 1, ; d APPLICANT: ! ~ t !~!~!l3t I l~(5~= 1, 1 Z El k f4i. { 0'"MVI 1 141* Sri !~f:V ;Ill ! f 1 f i 1 1 1 6?e? PERMIT SUBTYPE: TYPE OF WORK: ~ r' i i I+I; i t~tf INSPECTIO14 INSPECTION TYPE DATE INSPTR. k i r! Permit No. Permit Holder Dote Telephone # ELECTRIC fu.1 47,7/Woc:264M PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TESTY BLDG FINAL p177 SSMT R.I. BSNIT FINAL DECK FTG DECK FINAL - l CITY OF EAGAN 9795 P1W Knob Road Eagan, MH 55122 PHONE: 454.8100 BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address 7 Erect '0' Occupancy Lot Block` Sec/Sub. Alter Q Zoning Parcel # Y~ Repair ❑ Fire Zone W, M Enlarge ❑ Type of Const. Name Move Q # Stories 3 Address Demolish E] Length Ci ' ' Phone Grade ❑ Depth Sq. Ft. p Name - Approvals Fees u~ Address Assessment Permit ~ City Phone Water & Sew. Surcharge Police Plan check ~W Name P u) Fire SAC T~ Address Eng. Water Conn. <W city Phone Planner Water Meter Council Rood Unit ` I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with oil applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit Is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota ,Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing ' r ` wFS - - i M X75 i'ltc k . 3--(( 9-Z H.V.A.C. L J C`''.V*~ rc~ eo Well Water - DISP Sewer -1S Electric Lo TtAw 5v q-(3 Inspection . Date Insp. Other Footings J7 1977 1 Foundation Framing i Rough Plbg. ' Rough HVAC Insulation Final Plbg. kj Final HVAC 1 Final Describe Location: y ED6,p. i a CITY OF EAGAN Remarks Addition BEACON HILL ADDITION Lot 27 Blk 4 Parcel 10 13500 270 04 Owner IiYli`'r;C Street 4619 Cambridge Drive State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. Wt'C 1982 1848.67 205.41 9 1643.27 A011200 6-28-82 STREET RESTOR. GRADING (p~j 1982 537.84 59.76 9 478.08 " " SAN SEW TRUNK 1976 135.97 9.06 15 72.55 rr *SEWER LATERAL 1982 3182.83 353.65 9 2829.19 it rr WATERMAIN *WATER LATERAL 1982 9 WATER AREA (o 1982 202.00 22.44 9 17P.56 " if * Stubs 1982 9 STORM SEW TRK 1982 367.77 40.86 9 326.91 'r If *STORM SEW LAT 1982 9 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 240.00 #29367 3-26-82 WATER CONN. 420.00 " rr BUILDING PER. SAC 525.00. rr +r PARK i CITY of EAGAN WATER SERVICE PERMIT 3795 Pilot Knob ,Rood PERMIT NO.: Eagan, MW 55122 DATE: Zoning: No. of Units: i Owner: c,. - = Address: Site Address: ' rr L27 '"14 By Plumber. Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: - Total: By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knolf Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address Site Address: 2' 7 7! Plumber: - agree to comply with the City of Eagan Connection Charge: r Ordinances. Account Deposit: Permit Fee- Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: 210-220 ® OFFIC USE ONLY This request void 18 months from volidanon date Printed in this box. ~~/sue PLEASE PRINT OR TYPE v'v Requ ate Rough-in inspection required? Yes Flo Inspection Other Than Rough.ln Ready N.,B'Nill Coll 9 f, (You must call the inspector when ready) Daro Ready I, Pi nsed contractor 0 owner hereby request inspection of the above electrical work at: Job Address (Smi Box, or Roble I Oq Zip Code ?G Section Na. Township Nome or No. Range No Fire No. Coun O.,nt Phone No Power Supplier Addreu Eledd Canhacror (Company Name) C imador Liarnse No Maskr bc. No. (Plonl Elect Only) Ue/CrC (TZYlCj{ /7 Moiling Ad z (Contractor or Owner Performing Insiallolon) lf 77Z- O!S 1 Z~ AuRwdzed Signa ontrador or Ow Performing Insmllaeonl Phone No. /C SyQ-~/gov 6/95 STATE BOARD COPY- SEE INSTRUCTIONSON BACKOF ELLOWCOPY IIII IIIII III II k II I II REQUEST FOR ELECTRICAL INSPECTIONQ~ Minnesota State Board of Electricity 1821 University Ave., Rm. S- 28, S Paul, MN 55104 * 1 D D * Phone (612) saz-oeoo 10 Home Duplex Apt, Bldg. Other:' New Addn Commercial Industrial Farm Remod Re air Air Cond. Htg. Equip. Water Hir. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Enfrance Sae Fee # Cin ts/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ug./Traffic Sig. Above 200 Amps Above l00 Amps Transformer/Generatar INSPECTOR'S USE ONLY TOTAL Sign/Outline Ltg. Xfmr. e 3O, Wa Alaml/Remote Control Swimming Pool I here urti Mat I inspeoled the eleanc allan descnb on the dohs sated Irrigation Boom Rough-in Dale Special Inspection Fowl Dare Investigative Fee THIS INSTALLATION MAY BE ORDER DISCONNECTED IF T COMPLETED WITHIN 18 NHS. ig smug 7i y 4. I Terfifirtt#e of Orrupaurg Citp of (Cagan' ~ Brpartmmt of hailing -%sprrtinn f - ~1 s.~ This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance witb the various I z 4., ordinanrerof theCity regulating buildingconstruction or use. For the following: P SF DWG/GAR eae r.~.no 7153 3 U. ream R3 V r,..z NA z j.4Du. Ri r 0+!w Ta 'rrMcamuaa e V~! Joseph Miller ad. 14115 Guthrie Ave.. Appl o.M ewax s 7 or p'7 4619 Cambridge Dr. Lot 27,Block 4,Seacon Hill ~I , i by: DIU: June 18, 1982 LITIU v v a Oaan ~e: y-~ as RESIDENTIAL 4-2.75 BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-681-4675 New construction Requirements RemodeORewir Requirements i _ L2 -02 . 3 registered site surveys showing sq. ft. of lot sq. ft of house; and aq roofed areas . 2 copies of plan (20% mazmnan lot coverage allowed) . 1 set of Energy caladations for heated additions . 2 copies of plan showing bream & window sizes; poured found design, etc. 1 site survey for exterior additions 8 decks _ . 1 set of Energy Calculations . Indicate I home saved by septic system for additions . 3 copies of Tree Preservation Plan d lot platted after 711193 . Rim Joist Oetall options seleftn sheet (Wdgs with 3 or less units) DATE 0 50 4 VALUATION (o JOB SITE ADDRESS 1-!GG 1! C cr vn h r d 5 c IF MULTI-FAMILY BUILDING, HOW MANY UNITS? _ S PROPERTY OWNER C `f rI+h i S COW Ct 11 TYPE OF WORK T64 ro-CC Re roo FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT eekt Roont"iyt5 PHONE#612-1~23'~c•y~ ADDRESS L 11 ~a ~>rc c'1 5 i or 31 Icy ZIP CODE SSA/~~ PAGER # CELL PHONE # FAX # NEw RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Phone # Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor. Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the infor ation' ect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi ces. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 PERMIT 8W5(pos~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 3 4 5 (612) 681-4675 Date Issued: 05/07/96 SITE ADDRESS: 4619 CAMBRIDGE DR LOT: 27 BLOCK: 4 BEACON HILL P.I.N.: 10-13500-270-04 DESCRIPTION: (3-SEASON) uil, ermit Type IF PORCH x ui,ld~ng W rk Type NEW Lensu~'~66d'e 434 ALT. RESIDENTIAL ~urV'l/.~ ~Yi$f iG REMARKS: FEE SUMMARY: VALUATION $18,000 Base Fee $262.25 Plan Review $131.13 Surcharge $9.00 Total Fee $402.38 CONTRACTOR: - Applicant - ST. LIC.OWNER: PATIO ENCLOSURES INC 16311100 0001676 COWAN CINDY 2123 OLD HWY 8 4619 CAMBRIDGE DR NEW BRIGHTON MN 55112 EAGAN MN 55122 (612) 631-1100 (612)681-9394 QQ_ - a,.l..;,. -K. .t I hereby acknowledge thit I hive read ~thisirapplication and state that the informat°ioj i s dbrraet' nci° ac~°e'e'eT try bm 1 -,with all °applicdbli~ S'tat°e of Mn.- Statutes and,City of Eagan Or•din,pnces SUEBYJRE` APP ICANTlPERMITEE SIGNATURE ISSUED BV SIG RT R w~ CITY OF EAGAN.3~ 3830 PILOT KNOB RD - 55122 `i Ad 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) - 681-4675 New construction Reauimments Remodel Repair Reaulrements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ t energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1193 required: _Yes _ No DATE: 4/10/96 CONSTRUCTION COST: $17,152.00 DESCRIPTION OF WORK: BUILDING A THREE SEASON PORCH TO THE EXISTING STRUCTURE STREET ADDRESS: 4619 Cambridge Drive ^9 LOT J i BLOCK SUBD./P.I.D. #:D(4MfYi~ lr'Xl PROPERTY Name: Cowan Cindy Phone (612) 681-9394 OWNER Street Address. same As Above City: Baaan State: VIN Zip: 55122 CONTRACTOR Company: PATIO ENCLOSURES INC Phone #:(612)631-1100 Street Address: 2123 Old Hwy 8 License 0001676 Cry. New Brighton State: bin Zip: 55112 ARCHITECT! Company: SEE ATTACHED Phone ENGINEER Name: Registration Street Address, City: State: Zip: Sewer & water licensed plumber. Penalty applies when address change and lot change are requested once permit is issued. 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. Signature of Applicant rim p p OFFICE USE ONLY APR 12 1996 Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No APR 22 196 06:57 PEI/MNPLS P•2i2 . Fax ~ r ' y to a SITE PLAN. feet (lot width) ~90 feet • feet (lot depth) 3710 F- 15- I IT feet Its • ' ~Pasc~ J feet RTY LINE--II` _ STREET/AYENU MOM CITY OF EAGAN N9 715 3 3793 Pilot Knob Reed Eagan, MN 55122 PHONEt 454.8100 BUILDING PERMIT Receipt #N` To be and for SF DWG/GAR Est. Value $53,000 Date Marc h 26 , Iq 82 Site Address 4619 Cmicid a$m alive Erect Occupancy R-3 Lot 27 BI k_ 4 Sec/Sub. Beacon Hill Alter ❑ Zoning R-1 parcel # 710 13500 270 044 Repair ❑ Fire Zone NA Enlarge ❑ Type of Const. V W Name Joseph M er nnw Move ❑ # Stories £ Address 14115 Guthrie Ave., Demolish ❑ Length'49 ~p city phone 454-4753 Grade ❑ Depth A5-Sq. Ft- Name SPY Approveb Fees z~ Assessment Permit 292.00 8` Address 26.50 City Phone Water 8 Sew. Surcharge Police Plan check 16.00 Gffi Name Fire SAC 525.00 Address Eng. Water Conn.420.00 iW Ci Phone Planner Wafer Meter 60.00 Council Road Unit 940... I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total$1709-50 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit Is issued to: J09e h My Mill Cont. on the express condition that all work shell be done in accordance with aryllJy/ pli able oaewte Statutes and City of Eagan Ordinances. Building Official N "A D CITY or. Include 2 sets Of Plans, 1 site Plan w/blevatia w i BUIIDIM PEFWT APPLICATM _ T set of one* aalaulaticrw To Be Used For b~valuation q~3,noo Date -.jai/ a! - Site Address: 4619 Cambridge Drive SCE USE cm - lot 27 gloCk 4 Sec./Sub. Beacon -Hill gree t pp y Parcel r 3 5o o Zz o a Alter ir Fire Zone Aepair~ Enlarge TyPa Co:~st• ~'w Caner: Joseph M. Miller Const. Inc,l~e~ oil AddrW: 14115 Guthrie Ave; ftmt City/Zip Code: Apple valley 55124 Phone 454-4753 APPROVALS CIO . Contractor: Same Assesses t Permit Water/Seser 6 Address: Police Plan Me&-- city/Zip -code: Fire WIC Eng. Water Corp. z~-96'fD Phase is Planner water !Meter ~ ail S Oouncil Aced unit, Arch./Eng.: Bldg. of`- Address: APC Phase A-------- City/Zip Code: 1oI11L aF~~l`t'~- X709 - 5~,~,~ b$rtificate foe': Centex Homes Midwest Inc. 8601 Darnell Road Eden Prairie, Mn. 55344 / doe miller Const. 14115 Guthrie Ave. pEIMAR H. SCHWANZ Apple Valley, Mn. LANOSURVEYOR ,j 55124 RKiSt•rSd Under L•WS of The SWO of MInnSSOH PHONE 812 42&1788 2978- 148TH STREET W. - BOX M ROSEMWNT, MINNESOTA 8E888 P 472.f SURVEYOR'S CERTIFICATE 110 174 ¢ $0 p.~q 1. Sh•^i ~ .w l ~r~~ ~ "f /7'~ ' I 13.67 G9L. T - s+~ Q N I D f ®N* hboftr Z -Jaw- 0 '10A d Q 171 3 ii 973 a ~ E19° ae+' az" g ►ec7AO 3o Denotes existing elevation X30 tCI Denotes proposed elevation t t S ~`Q n.1,1flCh 't Proposed garage floor 9 7S o Proposed Basement floor 97° 7S Proposed top of block 97~~• correct I hereby certify that thtC according true oth dreoorded plat thereof, n Dakota t27, Block 40 BEACON HILLS, County, Minnesota. February 3, 1981 1982. Revised to show proposed house as staked March 10i Benchmark: Centerline ce00 1 ft•Cliff Rdo and Beacon Hill Rd. Elevation 944 MINNESOTA REGISTA ION NO.8825 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN I + 3830 PILOT KNOB RD - 55122 77 / 5 651-681-4675 New Construction ReauiremeMS RemodelfReoeir Reouirements . 3 registered site surveys showing sq. it of lot sq. ft of house; and all fooled areas . 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions . 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks . 130 of Energy Cakwauons . 3 copies of Tree Preservation Plan If lot platted after 7/1193 . Rim Joist Detail options selection sheet (bldgs with 3 or less units) DATE -5/1 q1 D I VALUATION (EXCLUDING LAND) jOB SITE ADDRESS #6/C1 619M621Qk,-Z 0W EIP&tf-AJ A& 5S7/2_2!' IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER eYAJ-177'1ft M C-O")6'7t) TYPE OF WORK 1311;4N6r FIREPLACE(S) _0 _1 _2 _3 APPLICANT ~xit17hL1,4 Al dOW,4z~ PHONE# 401 6e/ 939~21 u ADDRESS ~q (221, 541D&F k_aCalf 9A) ~y.fi2Z ZIPCODE 6S'1! / 37 PAGER # CELL PHONE # FAX # VIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I D a (check one) - Residential Ventilation Category 1 Worksheet Submitte - Energy Envelope Calculations Submitted D MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: - Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. \J~ Signature of Applicant C~!y % O w ~✓I/`~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA074658 Eagan, MN 55122 . Date Issued: 08/09/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4619 Cambridge Dr Lot: 27 Block: 4 Addition: Beacon Hill PID 10-13500-270-04 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Pictures are not acceptable in lieu of inspections. Brenda Van Sick le 4100 Excelsior Blvd St Louis Park, MN 55416 952-915-7226 brendav@sela roofing.com Fee Summary: BL - Base Fee $2K $69.00 0801.4085 Valuation: 2,000.00 Surcharge - Based on Valuation $2K $1.00 9001.2195 Total: $70.00 Contractor: -Applicant - Owner: Sela Roofing Remodeling Cynthia M Cowan 4100 Excelsior Blvd 4619 Cambridge Er St. Louis Park MN 55416 Eagan MN 55122 (612) 823-8046 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 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA121603 Date Issued:04/09/2014 Permit Category:ePermit Site Address: 4619 Cambridge Dr Lot:27 Block: 4 Addition: Beacon Hill PID:10-13500-04-270 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Phil Holmin 3432 Denmark Ave #228 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: 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. Contractor:Owner:- Applicant - Cynthia M Cowan 4619 Cambridge Dr Eagan MN 55122 (612) 964-7440 Holmin Heating & Cooling Llc 900 Park Knoll Drive Eagan MN 55123 (651) 405-3853 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA172278 Date Issued:09/23/2021 Permit Category:ePermit Site Address: 4619 Cambridge Dr Lot:27 Block: 4 Addition: Beacon Hill PID:10-13500-04-270 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: 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. Contractor:Owner:- Applicant - Hanafy H Mahmoud 4619 Cambridge Dr Eagan MN 55122 (612) 703-5565 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature