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1533 Greenwood Ct N - BL89349City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1533 Greenwood Ct N Lot: 8 Block: 03 Addition: Surrey Heights 1st PID:10- 73000 - 080 -03 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Fee Summary: Contractor: Air Mechanical 16411 Aberdeen St Ham Lake MN 55304 (763) 434 -7747 Quesetions regarding electrical permit 952- 445 -2840 TINA NEUBAUER 16411 ABERDEEN ST NE ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Elec Owner: Brian P Kalis 1533 Greenwood Ct N Eagan MN 55122 $50.00 0801.4088 $0.50 9001.2195 $50.50 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 Mechanical EA092238 12/07/2009 ePermit cal Inspector, ~oi 1 Office Use Permit City of Ea -2L) P1 ermit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 { Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 5 2O-0/Site Address: hie t-1 ya)ads Qt` A/ ` Tenant: Suite RESIDENT / OWNER Name: Phone: 5122 Address ! City / Zip: CONTRACTOR Name: License 17 70 Tom-'' 1 Address: champion 3870 84.0100 City: State: Zip: Phone: Contact Person: i4k~ 0 TYPE OF WORK New V /Replacement Repair Rebuild Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDE TIAL ater Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ PVB) Main - Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL 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* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $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, ductwork, etc.) (includes $.50 State Surcharge) :Zj TOTAL FEES $ 5) 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. x x r Applicant's Printed Name Applicant's nature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough-In Air Test Gas Test Final r~~