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837 Ivy Lane 2 JUN 2 2 2009 1 For of eUse City of Ta Permit Permit 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: Site Address: cage( i - Tenant: Suite RESIDENT/ OWNER Name: C I 4 DI; V2~ Phone: V:7) ~ Address / City / Zip: SQ)4& 2- CONTRACTOR Name: License ~7 7 0 it~t, Address: amnion City: 3670 tad Rd. #100 State: Zip: IS WN S5112 339 Phone: Contact Person: ' 1' 1 5 0 TYPE OF WORK New replacement _ Repair , {pRebuild _ Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures L- RPZ / _ PVB) L_ 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) TOTAL FEES $ ~D 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. J` I? X \ V -elm X i...-- Applicant's Printed Name Applicant's Sf 100 FOR OFFICE USE Reviewed By: Date: Required Inspections: Ur der Ground Rough-In Air Test _Gas Test Final 3716{ PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA109414 Date Issued:03/06/2013 Permit Category:ePermit Site Address: 837 Ivy Lane Lot:10 Block: 04 Addition: The Woodlands North PID:10-75890-04-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Dean Kamrath 13791 Jonquil Ln N Dayton, MN 55327 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - Kathleen Murphy 837 Ivy Lane Eagan MN 55123 (651) 452-4099 Adam's On Time Plumbing & Water Heaters LLC 13791 Jonquil Lane N Dayton MN 55327 (612) 205-6060 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA109414 Date Issued:03/06/2013 Permit Category:ePermit Site Address: 837 Ivy Lane Lot:10 Block: 04 Addition: The Woodlands North PID:10-75890-04-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Dean Kamrath 13791 Jonquil Ln N Dayton, MN 55327 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - Kathleen Murphy 837 Ivy Lane Eagan MN 55123 (651) 452-4099 Adam's On Time Plumbing & Water Heaters LLC 13791 Jonquil Lane N Dayton MN 55327 (612) 205-6060 Applicant/Permitee: Signature Issued By: Signature