3700 Burgundy DrLOT 9?_ BLOCK Z SUBD. (??
RECEIPT # Ollii? DATE
1996 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
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COMMERCIAL INST LLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: LA_? ? Commercial GPM
Residential (boulevards) GPM
Existing residential
Area/address to be irrigated:
Installer:
Street address:
Owner ? Plumber?
City, state & zip code: ?C?C.?-1 / R/anr, !/l1 V0
Owner Name:
Street address:
City, state & zip code: /'linff?Ua?a iM/V ?"-
Irrigatiori cuntractor, if different than irstaller:
#: 99r(092_5`?
Telephone #: 6"7(J - /i 0
1 hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable City of Eagan ordinances. It is the applicanYs responsibility to notify the property
owner that the City of Eagan assumes no liability for any damages caused by•the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City
propertylright-of-way/easement.
lican signature
Approved by:
PRV ? Yes ? No New service
Meter Size ? & Cost Y?a?
Fees due:
Lar?&:?W
Title
Date:
A(Yes ? No
Calculated?3y. ? •
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PROCEDURE FOR IRRIGATION SYSTEMS - 1996
An irrigation permit jg required - please contact Protective Inspections at 681-4675.
Fees
Commercial project: $25.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee only if new service is installed.
$300.00 per tap if installed by City.
Residential project: $20.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee if new service is installed.'
$760.00 oer conrection - INAC.
$396.00 per connection - water treatment facility.
Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not
required if backflow preventer previously installed).
Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of
$182.00. If gallons per minute are rP than 25, a 2" turbo with strainer will
be required at a cost of $822.00. This information is to be supplied by the
designer of the system.
No meter will be sold before all sewer and water inspections are complete on a new service. fl new
service lines are not required, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy foruvarded to Utility Billing Clerk.
The installer is to contact Protective Inspections at 6814675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 6814300 for water turn-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspeGtions should be made on the preceding work day. FZequests far PM inspections will be accented
until 12:00 noon.
OFFICE USE ONLY&'his requesr void 18 monihs Fom validalion date prinled in ihis box.
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I, Xlicensed conhacror ? owner hereby requesf inspection of the above elechical work ot:
1ob Addreu (Sneel, 8ox, or RouM No.) [iy Zip Cade
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Seclion No. Tawnship Name or No. Range No. Fire No. Cawiy
OcwCpam. pj TG r
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P. Supplier Address
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Elecrcical Conhacror (C pony NomeI
L R Z. e k?.L.F Crt i?l Conhocror Licenx No.
C ft Moslar Lla No. ?Pbm Elect Only?
'ling Addre Confractor or Owner Performing InsNllmlon) /
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ANhoriz 5' oNre (Conh«lor Owner PerfarmGg InrMllofion) Phone No.
9/96 STATE BOARU COPV - SEE INSTRIICTIONS DN 9GCK OF VELLOW COT/
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REQUEST FOR ELECTRICAL INSPECTION ryz/ °-
Minnesota State Board of Electncity ..
1821 University Ava., Rm. S428, SL Paul, MN 55104 --
Phone (612) 642-0800 '- ?Home Duplex Ap1. Bld . biher: ? New Addn
Commercial Industriol Farm Remd
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Re air
Air Cond. Htg. E ui . Water Htr. oad Mgmt 01her:
Dryer Ronge Elec. Heot ? emp. Service
"X" above the work covered 6y this request Enfer remorks in this space and on the back of the while copy only.
Calculate Inspecfion Fee - This Inspedion Requesf will no/ be accepted withoul the correcl Iee:
Other Fee # Service En[rance Size Pee # Circuits/Feeders Fee
Mobile Home Pork Stall 0 to 200 Amps 0 b 100 Amps
Street Lfg./Traffic Sig. Above 200_ Am s Above 1 Amps
Tronsformer/Generafar INSPECTOR'S IISE ONLV TOTAL
Sign/Oulline Lfg. Xfmr. ? `?
Alorm/Remofe Conhol ?A
Swimming Pool i haeb ?em thar i;,u ?Iloxon de?bed herein oo she dam :mbd
Irrigolion Boom Ro„9h+„ pay
Special Inspecfion -
Investigofive Fee
THIS INSTALLATION M
AV BE O Final Dore
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RDERED DI TE TED WITHIN 18 MONT S.
?vo1''!C USt. Paul Plllrbez?s
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Na!7I !FAl`T'URER !(A-?y?NODEC, 9ERIlI. MOHRE,K ?q
?-! t `-"' J - ?? - ??-_- -
Nat1F' r)P PROJFCT'_??C/?/]'?__' COuH7.1•
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A;,i?NF.S4 (street, oity, zip) ? ?1,? V. . A-f3.f_? _J _...._....
!tK ,{7;ION OF DEVICE IN BUILDINC j?Q(7?"' S)nTC ?
i CHECR CiiECR DIFFERENTIAL
VALVE fi VALVE 12 PAESSURE REI.SEF
I VALVE
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' i. LEARED ? 1, LEAKED ? OPENED AT LBS.
e REDUC£D PAESSURE.
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s f 2. . CLOSEP TIr:fiT ? 2. CLOSED 7IGHT 1%
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RS I D
AID NOT,OPEN ?
i CLEANED CLEAHED CLEANEA
RE.PI.ACED: REPLACED: AEPLACEDs
? DISr, DISC DI3C:
? 3PRIN0 SPRZNC QppEp
? r GUIllE 6UIDE (,pF(ER
PIN RE'fAINER PIN AE7'AINEA $PRINO
? k ti1NC6 PIN NIHGE PIN D2APF4tACM7
F SFAT SEAT LAR6Es '
f' DSAPHAACM DIAPHRACH OpPEA
A OTHER, DF.SCR:BF. OTHEA, DESCAIBE LOXER
SMALL
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LOWER
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SPACER:
` LOwEA 8
OTAER, DESCRISE
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CIDSEP TIGIt'I'
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CI,OSF.D 7IGFR'
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REDUCED P ESSUAE .
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Hi' lltY)VF. NEPOA7 IS CF.R"IPIED TO AR TAUE. CEETIFSCATIOt7 / JQ Fj_- J
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t I AI. TEST HY NTI NC (C0. )DATE46
?ak_&4o4w,?___-REPRFSE
'r!'AIRE1+ BC DATE ?-
31AY '
1P;7 B7 AEPRESENTINO (C0.) -- AA7'E
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CASHTFFe 5 TCf.M.T.NAI_ N0. 340
IIFl7E;: 07/1.6/96 TIMC: 1.0:28e43
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NAME: I.AWN MGMT SYS7EMS INC
7D0
3212 `.:(lDi FSi3 1 2 HL1RG ?1 20.00
21',:'i5 `.3001 1 73 /Z BLf1il.', L 0.50
3'13 9c''2Q 18 ' 1/? BURG It 50.00
2155 9009. 18r i/?'_ RUf;G L 0.50
38Ei5 3220 i'<2 NUkG I? 'i'60.00
88613 9220 1"3
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- i./2 $UFG 11 336.(]0
371.6 9220 3
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7 ./2 BUfiG E3??.00
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7n1a1 Receip+, Amollnt,; cy04:•3.00
CR06i. 133
IJSE:fi ID: NANCY
LOT g Bl;OCK ? SUBD. ??n?ex V.e?rK, ?ion ??• ?.?
RECEIPTp61ly15' DATE ?1XlJjc4fo
1996 CITY OF EAGAN
' IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATIUNS: FORM MUST BE COMPLETED BY LICENSED PttlMSER
Date: ?? j I-S ? 9 t
Area/address to be irrigated: 1923
Installer: P<+t+"S-?? UA4%'^r> Owner ?
Street address: 10 go ka ti?j 4t
Plumber 4
City, state & zip code: Tl? tOA-? I fMOJ Phone #: 64? `09(O
Owner Name• Ce"?`'? u4^tie?'
Street address: Ja?? ??, ?,_ t", '°ti? fV
City, state & zip code: Phone #:
Irrigation contractor, if different than instalfer:
Telephone #: 6'K - 9
L A?„j iL1
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property
owner that the City of Eagan assumes no liabRity for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City
p rope rty/right-of-way/easement.
Applica6ts signature
Approved by:
PRV ? Yes ? No
Meter Size & Cost
Fees due:
Commercial GPM
g Residential (boulevards) GPM
_ Existing residential
BJN4-? o!`
New service
Calculated by:
?) w7`.?
Title
Date:
? Yes ? No
Serial # 16102
s ? - ?--?
Chip # U 35 U(?
Per?m? ?# a a S. U
?N?wd?d S' 3 t AGREE=?O CO PL? WrTH C Y' U t?
ORDINqNC Op EAGAN
Signature: 0' ? ?ru?, ?J,,r I
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CITY OF EAGAN .
CASHIEfi: S TERMINAL N0: 340
DATE: 07/16/9E TIME: 10:28:50
ID:
NAME: LAWN MGMT SYSTEMS INC
3212 9001 1873 1/2 BURG D P"^??• 20.00
2155 9001 1873 1/E BURG U0.50
3713 9220 1873 1/2 BURG D 50.00
2155 9001 1873 1/2 BURG D STare n,q,50
3865 9220 1873 1/2 BURG 1) 760.00
3868 9220 1873 1/2 BURG D ua?" T396.00
3r'16 9220 1873 1/2 BURG D822.00
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Tot,al Receipt Amount: 2,049.00
CR061133
USER SD: NANCY
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Address:
Ntw.dddr?
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ORDINAN
Signature:
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CITV OF EAGAN
CASHIER: S TEFMINAL N0: 340
DATE: 07/16/36 TIME: 10:29:50
IU:
NAME: LAWN MGMT SYSTEMS IkC
3212 9001 1873 1/2 BURG D P°^*• 20.00
ZLJJ 9001 1873 1/2 BURG Li srn.r?. 0.50
3713 3220 1873 1/2 BURG D 50.00
2155 3001 1873-1/2 BURG U rTa?e cL.,,Q,50
3865 9220 1873 1/2 BURG D4/4 C' 760.00
3668 9220 i873 1/2 t"fUnG li`?'s*•'fsy6.00
3ii6 9220 1873 1/2 BURG p822.00
-p ery+,1 4 1, ?.?asa
Total Receipt Amoiint: 27043.00
CR061133
USER ID: NANCY
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