1525 Central Pkwy n.
For Office Use
Permit#:... ....` T?
‘ ,, Permit Fee: (r✓5/ �! • 741
%:‘.. ., ., E AG A N
,i..• ...•
Staff:
.�. L._ - Ji
Payment Recvd: _Yes o
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 EC IV E
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Plans: Electronic aper
Plan Submittal: eplans(a� ityofeagan.com L
of /- go /e'--3/ 0"--
2018
"2018 COMMERCIAL BUI ING PERM! _ APPLICATION
Date: 10/29/2018 Site Address: 1525 Central Parkway
Tenant Name: Raising Cane's Chicken Fingers#391 (Tenant is: Suite#:
New/ Existing)
_ Former Tenant:
Name: City and County Credit Union Phone: 952-473-1210
Property ownerAddress/City/zip: 144 11th St. E., St. Paul, MN 55101
Applicant is: Owner i Contractor
Type of Work
Description of work: Provide a restaurant with drive-thru service
Construction Cost: 1 ,700,000.00
Name: Embree Construction Group License#:
4747 Williams Drive Georgetown
Contractor Address. City.
TX . 78633 542-8-1-9=475R 6/0- ' - j...State. Zip. f �� Phone. *SkM6� � embreegroup.com
Contact: 5 Email:
3Name: CSRS, INC (Architect) Registration#: 51087
Architect/Engineer
Address: 6767 Perkins Rd Suite 200 City: Baton Rouge
State: LA Zip: 70808 Phone: 225-761-3633
Contact Person: Burt Perkins Email: Burton.Perkins@csrsinc.com_
Licensed plumber installing new sewer/water service: TBD t Phone#: (�,l2.2a3`31) Lt--A fl\""`
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.com/subscribe.
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. .vww.gopherstateonecall.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.
Oigibtlly signed by Burton Perkins
ON:C=US E=byensQcsrsanline.cam,O=CSRS
x Burt Perkins Burton Perkins : Saorki^ _ —Rele'
x D.2018.1029 1205:430500
Ap licant's Printed Namer l'.Z 2e,\ l Applicant's Signature
s nn
. DO NOT WRITE BELOWjTHIS LINE' /c.., om' -Z r-
SUB TYPES /` <-) S 1.e / / t y,
'_ -'A
Foundation — Public Facility _ Exterior Alterationpartments
_ Commercial/Industrial Accessory Building _ Exterior Alteration-Commercial
_ Apartments _ Greenhouse/Tent _ Exterior Alteration-Public Facility
Miscellaneous Antennae
—
WORK TYPES
• New — Interior Improvement Siding _ Demolish Building*
Addition _ Exterior Improvement Reroof _ Demolish Interior
Alteration Repair Windows Demolish Foundation
_ Replace — Water Damage Fire Repair _ Retaining Wall
_ Salon Owner Change *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation l/�ba,ab0 Occupancy 'd"Z- MCES System 9✓
Plan Review f Code Edition Za1S Ogee— SAC Units I� /ti>•�
(25%_100% ) Zoning City Water
Census Code Stories o Booster Pump
#of Units Square Feet 3.1)S PRV
#of Buildings Length Fire Sprinklers
9 P
Type of Construction Width
REQUIRED INSPECTIONS
iJ Footings New Building_Deck Addition Drain Tile
-_ Foundation Foundation Before Backfill Retaining Wall
____,s/Vapor Barrier Erosion Control
Framing 30 Minutes 11 Hour Steel Reinforcement
Insulation Street/Curb Cut Inspection
SheetroclS, ` Other:
Roof:_ king Insulation _Ice&Water _Final •Meter Size:
1 Siding:6Stucco Lath __Stone Lath Brick_EFIS Electronic Set of Final Revised Plans
Windows
Fireplace:_Rough In _Air Test _,Final I Final/C.O.Required
Pool:_Footings Air/Gas Tests _Final Final/No C.O.Required
Final CIO Inspection: Schedule Fire Marshal to be present: Yes No
Reviewed By: , Planning New Business to Eagan: yes
Reviewed By: Ali
— , Building Inspector
FEES , - Water Quality
Base Fee 6' 'sc 71 Storm Sewer Trunk
Surcharge 4 78O. o.
� Sewer Trunk
Plan Review h S6. 9/. 0 Water Trunk --
os
MCES SAC it 'ZZ 345.- Street Lateral
City SAC 9 a�/ O /0 ' Street --
S&W Permit&Surcharge } rZ 9 Ae' Water Lateral
Treatment Plant g,60.c7•X) Stormwater Performance Security /b, DO c)
Treatment Plant(Irrigation) ff q -e•?)Landscape Security 'r -? SO 0
Park Dedication - - Other: / / `
Trail Dedication TOTAL: 6i.0 e y / 7q
Page 2 of 3
-MCES USE:Letter Reference: 18110788 Address ID:723163 Payment ID:416861 76 c/
Date of Determination: 11/07/18 Determination Expiration: 11/07/20
Greetings!
Please see the determination below.
Project Name: Raising Canes Chicken Fingers
Project Address: 1525 Central Parkway
Suite#/Campus: na
City Name: Eagan
Applicant: Benjamin Johnson, Kimley-Horn
Special Notes: na
Charge Calculation:
Food & Drink: 2,605 sq.ft. @ 300 sq.ft./SAC=8.68
Food & Drink-Outdoor Seating: 281 sq.ft. @ 1200 sq.ft./SAC=0.23
Total Charge: 8.91 or 9.00
Credit Calculation:
na
Total Credit: na
Net SAC: 9.00 —or— 9 SAC Due
The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the
business use and size at the time of the final inspection. If there is a change in use or size,a redetermination will need to be
made. If you have any questions email me at: tory.mcculloughPmetc.state.mn.us.
Thank you,
Cory McCullough
SAC Technician
Please visit our SAC website by going to: http://www.metrocouncil.org/SACprogram
390 Robert Street North I St. Paul, MN 55101-1805
Phone 651.602.1000 I Fax 651.602.1550 I TTY 651.291.0904 metrocouncil.org METROPOLITAN
COUNCIL
An Equal Opportunity Employer
For Office Use I tic
a�1, t i E AGA NPermit#: I. qS- 7 . 1
, , , s 1049 O
Permit Fee:� �L'/,7I
Staff:
1—_,-...-....-....--..-..-...----- _ rJ.,-..1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Payment Recvd: _Yes is No li
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 I I
Email: buildinginspections lcitvofeagan.com I Plans Electronic A, Paper I
Plan Submittal: eplans4citvofeagan.com
2019 COMMERCIAL PLUMBING PERMIT APPLICATION
® Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal,
submitted via email, CD or flash drive
Date:03/26/19 Site Address: 1525 Central Pkwy
Tenant: A I S i/t- C1i) ' S Suite#:
Proper g /
Owners , s, Name: Raising Canes Phone:
Name: Liberty Pluming Company License#:
Contractor Address:925 227th Avenue NW city:Oak Grove State: MN Zip: 55005
Phone:763-286-2485 Email: libertychad888@gmail.com
:P-:,;L: ✓ New Construction Addition Modify Space
Replacement Repair Rebuild Work in Right-Of-Way
Description of work: inside building plumbing
Type of o d irrigation System( yes I_no)(_RPZ I_PVB)
• Rain sensors required on irrigation systems
• Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
I'?✓ Meter Required-Call Utilities at(651)675-5646 to verity tests passed prior to picking up meter.
Domestic:Size&Type Fire: 1
Average GPM High demand devices?_Yes_No Flushometers_Yes No
COMMERCIAL FEES45,000
Contract Value$ x .015
$60.00 Permit Fee Minimum $675 Permit Fee
$60.00 PVB/RPZ Permit(includes State Surcharge)
$22.50 Surcharge
Surcharge=Contract Value x$0.0005 697.50
If the project valuation is over$1 million,please call City for Surcharge $ TOTAL FEE
The following fees may apply when installing a new lawn irrigation system or $ Water Permit
connecting a new water service.
$ Treatment Plant
Contact the City's Engineering Department,(651)675-5646,for required fee amounts. �
$�' �O. C.r 0 / Meter Fee
$ 1q0 . 0 C) Radio Read
$ State Surcharge
/
=$ 1' 7 O 7- s 0 TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at
www.citvofeauan.com/subscribe.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
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;t t the work will be in accordance with the approved
plan in the case of work which requires a review and approval of plans.
xKerry Sherk x qQ,-
Applicant's Printed Name Applicant's Signature
Page 1 of 4
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Required ins on$i � r� u g to 4$c04'1e t 'q ,,-,Test..'+ .Pinel PRY Rtes uired: Yes—No
- -.Ja' ,P ii a 1 +, r.� k
Meter Ret ite �a 'Meter R d tl ° , � n rStaff:
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Page 2 of 4
For Office Use
• / 5V 0
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�st1,..,.., ,,,, , E AGA N
Permit#:
•.—• ••.� Permit Fee:
61,'fin s Staff: �'P---- �
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ^` � Payment Recvd: Yes No ,
(651)675-5675 I TDD: (651)454-8535 FAX: (651)675,E�..a E VE I Email: buildinginspections(c�cityofeagan.com I Plans:,( Electronic Paper J
Plan Submittal:eplans(c citvofeacian.com . • MAY 15 2019
i! ii
2019 COMMERCIAL MEH7�N1
CCAL-PERMIT APPLICATION
❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the
submittal, submitted via email, CD or flash drive
Date: �'/7 Site Address: /570'15— ...,,,,<-1-r I r K c„9,,.) Fetoar. j .444).Ts7Z /
Tenant: r;36h ��G n Suite#:
rAt"l:,;t--:,..--;q:''e': ( 'e , Name: iS>>t, ne.S 2eSiC:4,rcn.1' L — Phone: '-_3g3- NeiO
� Address/City/Zip:_�,?OO l ::c�o� EP -P/ o T x 75 -4'Z 7y
` , -:- � Name: ,SO In/n 'T (a4 C t L t 17 4- K t TC tI tr N License#: 0 606006
cf-ri::.. __,- ,
r Address: Z s /`( e VG. da Ave City: yr c/dors vA!/ >'
�. � state: 171 n1 zip: 5 S i/z 7 '—f(o d-404-04- 6 OcO Ci,L 6,o s q
too,,,,,,,, , . 7,, ',...1'§''-.?,:1—,,)
r p Phone:
Contact:0OnsTANce- t7Avr1 Email:Can c+a.nte8 Sufism.r-(-don 4/1,ii--. tam
;,�,�'. .rte
7;44 Itt` -� t , - �C New Replacement . Additional Alteration Demolition,
. ,,
.af .� Description of work:4_ - .., - �.{h c 4 % '.
' =ad's ki i Y � �° ffl:fi "� 3
az g o i o-niso .. �, lrxa ' " i " -ro; ° fi
� � 4 '� COMMERCIAL
.X New Construction Interior Improvement
Wit - i � Install Piping Processed
Gasxterior HVAC Unit
t -. Under/Above ground Tank ( Install/_Remove)
COMMERCIAL FEES
cei
Contract Value$ 3(v YtZL x.015
$60.00 Permit Fee Minimum
$75.00 Underground tank removal, includes State Surcharge =$ 54 6 - GO Permit Fee
Surcharge=Contract Value x$0.0005 =$ r 40 Surcharge
If the project valuation is over$1 million, please call for Surcharge =$ s--6q C/G TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeauan.com/subscribe.
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 will be in accordance
with the approved plan in the case of work which requires a review and approval of plans. /
x UOACT AN Ct bqut t �
x
Applicant's Printed Name Applicant's Signature
�
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a d -; 4.;
7,7
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t `s ,- +n '' �� ���0 '..At, - sz ; �< t 4ts� : ` .g,', " , �� #1 1 ;.- @m� sm4 P k- ) i�) ''.4.:( i �fY :.:::.,j:!F 4p3,.,kk ::7_ 4 21ptce v'Yni..41-w!.-LA:
6 !.-L : , , r_ :, „ « a.
,
For Office Use '''j
Permit#: ! 5� /(� <
••• • • ••i• Permit Fee:
E AGA N
Staff:
11=1.°".CE IVEPayment Recvd: Yes No
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 . i
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-56 APR 2 4 2019 Plans:_ElectronicPaper
buildinginspections@cityofeacian.com
2019 FIRE SUPPRESSION6 MIT APPLICATION
Date: 1-- dc, Site Address: 15Z5 CENTRA. PARKWAY
Tenant: RA 1.51 1•1 NE'S Suite#:
0 Requirements: 2 complete sets of drawings and specifications,cut sheets on materials and components
Name: Phone:
Property Owner Address/City/Zip:
Applicant is: Owner V Contractor
�. Description of work: /NCTAILL PRE_SPRINKLER.,SYST.EArM,
ype 'WWII
Construction Cost: 46-2.1- Estimated Completion Date: 8-20-I,
Name: EXPRESS FRE P,Qo7ELTl oN License#: GOg�
ontractor Address: 14,30 9I STAVE /�1E� SUITE 1D City: SL'gll�lE
State: M N Zip: s4'� Phone: -763 -785-` 345
Contact: LOREN -N°Li) Email:
FIRE PERMIT TYPE WORK TYPE
✓Sprinkler System(#of heads A) 17-New _Addition
_Fire Pump _Standpipe Alterations _Remodel
Other: / Other:
DESCRIPTION OF WORK: V Commercial Residential Educational
FEES
Contract Value$ 2t1"-C-4;00 x.01
$60.00 Permit Fee Minimum
$ 244.. '`- Permit Fee
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million, please call for Surcharge =$ 1 Z.23 Surcharge
$100.00 Residential New(includes State Surcharge) _$ 2.5-6,77 TOTAL FEE
3/4"Fire Meter-$290.00 =$ 4-60.00 Fire Meter
Radio Read(required with Fire Meters)-$190 =$ 73 6.7 7 TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at
www.citvofeaoan.com/subscribe.
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate;that the work will be in conformance with the ordinances
and codes of the City of Eagan and with the Minnesota Building/Fire Codes;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 d aREN 9, TENow x
Applicant's Printed Name Applicant's Signature
/ ___S---___ VC-7 7
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test h Rough in
/// Trip Pump Test Central Station X Final
Conditions of issuance:
Permit Reviewed by: �!G" Date: i f
1
' , , For Office Use
:t. • Permit#:
/ 55�q?/
. E:.
e. 4.62 '61--�
�-e-trC_ 4 P� Permit Fee:
� 5. i
'3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 RECEIVED Date Received:
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinainspections(c citvofeagan.com MAY 0 8 2019 L J
2019 COMMERCIAL FIRE ALARM PERMIT APPLICATION
Date: 04-16-19 Site Address: 1525 Central Parkway
Tenant: Raising Cane's
Suite#:
VI Requirements: 2 complete sets of drawings and specifications,cut sheets on materials and components
Name: Embree Construction Group, Inc. Phone: 512-819-4965
Property Owner 4747 Williams Drive, Georgetown, TX 78633
Address/City/Zip:
Applicant is: Owner 1 Contractor
Type of.Work
Description of work: Fire alarm installation
Construction Cost: $5,305.73 Estimated Completion Date: 07/31/19
Name: Electro Watchman, Inc. TS000224
License#:
e..
Contractor
Address: 1 Water St. West, Suite 110 city: St. Paul
State: MN Zip: 55107 Phone: 651-310-1262
Contact: Jason Kammeyer Email: jkammeyer@electrowatchman.com
INew _Remodel
Work Type Addition Other:
Alterations
DESCRIPTION OF WORK: ✓ Commercial Residential Educational
FEES 5 305.73
Contract Value$ x.01
$60.00 Permit Fee Minimum 60.00
_$ Permit Fee
Surcharge=Contract Value x$0.0005 =$ 2.65 Surcharge*
If the project valuation is over$1 million, please call for Surcharge 62.65
_$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeasgan.comisubscribe.
I hereby apply for a Fire Alarm permit and acknowledge that the information is complete and accurate;that the work will be in conformance with the
ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes;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 pian in the case Woo*which requires a review
and approval of plans.
xJason Kammeyer /'a.�izaoury�,
x
Applicant's Printed Name Appl a Signature
FOR OFFICE USE if,�Q" Reviewed By:` Date:
Required Inspections: Rough-In X Final Fire Alarm Test
For Office Use
Permit#: / -
`�� � � r�: :tFee
AN AE
►*.. Payment Recvd: Yes No
ti'"II tlir
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 �. ' -�r l
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Plans: Electronic Paper
buildincinspections(a�citvofeagan.com it q! 0 3 2
019 L
2019 FIRE SUPPRESSION SYSTS PER T APPLICATION
Date: 5-28-19 Site Address: 1525 CENTRAL PARKWAY
Tenant: RAISING CANES 391 Suite#:
S Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components
Name: Phone:
Property Owner Address/City/Zip:
Applicant is: Owner Contractor
Type of Work
Description of work: NSTALL 6 GAL ANSUL R102
Construction Cost: 1500 Estimated Completion Date:
Name: SUMMIT COMPANIES License#: TS000749
Contractor
Address: 575 W MINNEHAHA AVE City: ST PAUL
State: MN Zip: 55103 Phone: 651-272-3258
Contact: BRIAN MICKELSEN Email: LGUMBRILL@SUMMITCOUS.COM
FIRE PERMIT TYPE WORK TYPE
_Sprinkler System(#of heads ) New _Addition
_Fire Pump _Standpipe _Alterations _Remodel
If Other: ANSUL R102 Other:
DESCRIPTION OF WORK: 1 Commercial Residential _Educational
FEES x.01
Contract Value$
$60.00 Permit Fee Minimum =$ 60
Permit Fee
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million, please call for Surcharge =$ .75 Surcharge
$100.00 Residential New(includes State Surcharge) =$ 60.75 TOTAL FEE
3/4"Fire Meter-$290.00 =$ Fire Meter
Radio Read(required with Fire Meters)-$190 =$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at
www.cityofeacian.com/subscribe.
\',I hereby apply for a FA--..*J" .pression_ystem permit and acknowledge that the information is complete and accurate;that the work will be in conformance with the ordinances
and codes of th.l.. a4an and with the Minnesota Building/Fire Codes;that I understand this is not a permit,but only an application for a permit,and work is not to start
without a p:,-.1 the work will be in accordance with the approved plan in the case of work which rrquires a review and approval of plans.
x • x Col SA C� dUI Yl G
Applicant's Printed Name Applicant's Signature
/ < �
. FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test Rough In
Trip Pump Test Central Station v Final
Conditions of Issuance:
Permit Reviewed by: G'l�^' /G` Date: 6 / L/ /
I-- -,
For Office Use ^�
, % : : ; , Permit#: /5 7c' 2
‘..„,‘,, ,,,,, , E AGA N
T...• •.gr. Permit Fee: 1:-K -C-) Ci C
-.� Staff:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 Payment Recvd: Yes No I
(651)675-56751 TDD:(651)454-8535 I FAX:(651)675-5694
Email: buildinginspectionsc citvofeagan.com I i
Plans: Electronic Paper I
Plan Submittal:ealans(�cityofeagan.com i ,,
2019 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal,
submitted via email,CD or flash drive
Date: gi /9 Site Address: / O� i I lq- f W
Tenant: lam "'; /rte ()'W26.`.S Suite#:
I Property
Owner Name: Phone:
I Name: /_ ..79/-" R A/ � License#:
Contractor Address: `"1 0 9 c 7 i R Ave ' City: gS4 / State: liii)Zip:
��-S�
Phone: -74'3'' 2 7e6 .t/4majj:
New Construction Addition Modify Space
Replacement Repair Rebuild Work in Right-Of-Way
Description of work:
Type of Work c Irrigation System(_,yes I—no)(_RPZ i—PVB) i 'I11)e 4-64,____
• Rain sensors required on irrigation systems
• Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
Meter Required-Call Utilities at(651)675-5646 to verity tests passed prior to picking up meter.
Domestic:Size&Type Fire: 1
Average GPM High demand devices? Yes No Flushometers Yes No
COMMERCIAL FEES Contract Value$ x.015
$60.00 Permit Fee Minimum $ z9 [) , o(D Permit Fee
$60.00 PVBiRPZ Permit(includes State Surcharge)
$ Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million,please call City for Surcharge $ TOTAL FEE
The following fees may apply when installing a new lawn irrigation system or $ 1;4'i/0 O Water Permit
connecting a new water service.
Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant
$ •0. 0 Meter Fee
$ Radio Read
$ I On State Surcharge
=$ Z196- 0 O TOTAL FEE
'ou may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at
www.cItvofeanan.com/subscat.
ALL BEFORE YOU DiG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
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
nderstand 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
Ian in the case of work which requires a review and approval of plans.
Kerry Sherk
x
►pplicant's Printed Name Applicant's Signature
Page 1 of 4