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1372 Cleome Lane Frow ELDER JONES INC 952 854 4909 05/21/2010 10:59 #934 P.002/005 Use BLUE or SLACK ink - - - - - - - - - - - - - - - - - ForQ~+c....Use I Permit#: City of Eap I Permit Fee: i I 3630 Pilot Knob Read t hate Received: _ Eagan MN 55122 i i Phone: (051) 675-5675 I staff.. Pax: (651) 875-5694 ! 2010 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: =7 7 Tenant: suits f / RESIDENT 1 OWNER Name: -Te r ` ' u r rn Phone: 1 Y y " ~ 4 4 Address / City / lip: /,3 7A Applicant is: _ Owner -Cbntractor TYPE OF WORK Description of work: _ (45 _ W / n ago L"f1`~ 4p f 1 nl Construction Cost: Q ~J Multi-Family Building: (Yes _I No+=-r}• Clear Choice Windows CONTRACTOR Name: _ 1129 Riverwood Eirive _ License Address Burnsville, MN 55337 City: Ph. 952/8915-8888 Lic#20637154 Stater / Contact: - W GD LeT p>r rn, t T'Ema11:. + i7 t+ s 6D @ ( A0 A1 S , fn COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _-No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor, Phone: Sewer & Water Contractor: Phone: NOTE! ,Plans grid st Spar h4 documents thaf you submit are considered to be jvublic lnformst/on': PorHoxrs, of the infgtyYrafibn may tip ~lasstfleci es rtoh-p'ubltc if you provide specific reasons that wauid pe•mlf the City to conclude that the are'tracie secrets. ' BALL BEFORE YOU DIG. Can Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive loostes of underground utilities, www. o h tateone Il.o 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 pertnlL but only an application for a permit, and work is not to start without a permit; that the work will tee In accordance with the approved plan in the case of work which requires a review and approval of plans. x_ pq S L A ~ Gt,~ x , Applicant's Printed Name Applicants Signature Page 1 of 2 CITY OF EAGAN Remarks Wilderness Run 2nd Addition 17 10 84351 170 02 pwneTFrrnncF, n- (ntnf Mvrrb„I screet 1372 Cleome Ln. stare Eagan, MN 55123 Improvement Date Amount Annual Vears Payment Receipt Date STREET SURF. STREET RESTOR, GRADING SAN SEW TRUNK p,.• 1973 $175.00 $8.75 20 PAID SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 8 72 STORM SEW TRK y' ???,??j?? ? STORMSEW LAT CURB & GUTTER SIDEWALK STREET LIGHT SEW CONN 1974 $240.00 $48.00 5 PAID WATER CONN. $300.00 6348 8-29-72 BUILDING PER. sac $240.00 7193 1-5-73 PARK EAGAN TOWNSHtP BUILDING PERMIT N? 2826 Owner ........... _!C...^--........`."¢..'.`...°.'Lt'._....--?---°-'-•"------.... Ea4an Township Addzeas (preseni) ...... ?:.?.._.. &..:.-t6?-?^--:-rT----'-"..._. Town Hall Builder ---------- ............?c?.c.+.^:r? ................. ....--- ................-..... Dale SI/J'S?> L .................... ......... --... Addrass ....................................................... ....................................... 5fories To Be Used For Front Depih Heighf Eaf. Cos! Permi! Fee Remarks -25k, -O /o Qe-rCt. ?...?Cl`-c? .$rT 7 // SV .3d ' " LOCATION or / 3 7 ?1- d-47-.----.-. This permit does no2 authorize the use oi siraets, roads, alleps or sidewalks nor does il give the owner or his agant the righlto create any situalion which is a nuisanee os w6ich presenls a haaard !o the heallh, safefy, eoavenience and geaeral welfare !o anpone 3n the eommunilp. TIiIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGR SS. This is !o eesrifp. lhaf_....?:-Y'"?:?:c?:...---....°-..has permission lo erec! a--_ •---.-.-._... - uon . ..... . _ °-- - ..... . . . ........_ P the above deaeribed premise subjee! !o the provisions ot the Buflding Osdinance for Eagan ownship opted April 11, 1955. ....... .'..-?-- : ............. .. ....... ....'-..... ° g ------P............---.. ..... Per _.........- ............... ? .----d?.-?,:.... ----G.' Chairman of Tnwn Board ?i Buildin Ins ecfor ? . ?7 -?2- -;)-- Co, r. TOeiN OF EAGAN 3795 P21ot &zob i,oad Eagan, Minnesota 55121 PERMIT N0. 271 The Board of Supervisors hereby g•rants to veil & Hubbard Fieat3rtg & aJc coe of 99 N. s7,e.u3z,g nve., st. pawi 55104 a HWiINa Permit f•or: (Owaer) Tilaea CoASLrilatiaal a OC1eame & 1303 Lodgepole , pursuant to application dated 10/28/72 ree Paid; $40•00 ?ated this 26th day of ootober _j 19 2. . BuiZding InspecCar f135 i 176 c?, i;?', Z2? T041N OF EAGAN 3795 Pilot Knob Road ;:agan, Minnesota 55122 PERMIT N0. 227 C ,--? The Board of Supervisors hereby grants to J. F. Farrell & Sar1 plwnbing Co. of 990 w. N'.ontana Ave., St. Pau1 55117 ? e PLLZMB'IG Permit for: (Owner) Ti7.ae=i Construction 1372 Cleona iane 3?j , -Camnos Fsae at 1- _ &-1y3fl3-L671gepo}e-&-??j?,?-p?,a, , pursuanG to application dated 6/15/72 Fee Paid: ?'???•? Dated this 15th day of Jun8 , 1972 . .,,C e c '- Building Inspector i? ,. EAGt`N 1OWNSHIP 3795 Pilot Rnob Road 5t. Paul, Minxteaota 55111 Telephone 454-5242 PERMIT FOR WATER SERVIC$ CONNECTION Date: August 29., 7972 Billing Name• Tilsen Construction Co, Owner: same Plumber• Luecken Eccavating Location of Co ction Meter Connection Chg.300.00 pd 8/29/72 10.00 pd 9/12/72 ??'? Meter Permit Fee 72 s/c Meter Reading Meter Dep. Meter Sealed: Yea_ lAdd'1 Chg. NO iTotal Chg. gy. Loren Gallati Iuecken Fxcavating Building is a: Residence xx P4ultiple Ho, Units Commercial Industrial Other Inspected by Date Remarks: Number• 967 1,7-.) A) "4-9. -11 Site Addreas: 1372 Cleome.,,Sagan 55123 Billing Address R4•'.,."? ?CTfOtJ ?EE FOR '? I?•f?PR?;?(-.A.LY liV$TALLED i,4ETERS. Bq: Chief Iaspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do tte proposed work in accordance with the rules and regulatioas of IIagan Township, Dakota Coun[y, Minnesota. Please notity the above office when ready for itv:pection aud connection. EAGHN TpWNSHIP 3795 Pilot xnob Road St. Paul, Minnecota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: August 29, 1972 OWNER: Tilsen Construction Co. PLUMBER Luecken &,kcavating OF BUIIDING Industriall Commerciall Reaidential I Multiple Dwelling I No, of units xx Location of Connections: Nt1M8ER 1119 Address 1372 2a Cleame, E4gan 5$123 /7-0 61 TYPE OF PIPE Heavy Cast Iron ConaecCion Charge -o- Permit Pee 10.00 d 9/12/72 .5o Pd 9 -]2 72 Street Repairs Total Inspected by: Date Remarka• By Chief Inspector Ia consideration of the issue atul delivery to me of the above pexmit, I hereby agree Co do the proposed work in accordance with the rules and regulations of Sagaa Towraship, Dakota County, Minneaota g3. Loren Ga,].lati Luecken Fxcavating Please twtify mhen ready for inspection aad coanection and before any portion of the work ia covered. YII.? a CITY OF EAGAN , 3795 PILOT KNOB ROAD EAGAN. MINNESOTA 7slu - rMONE 45441100 d Mr. and Mrs. Terry L. Murray uj? 1372 Cleome Lane 4: Eagan, MN 55123 ; `?''• Re: Use of Boulevards Dear Mr. and Mrs. Murray: TNOM0.S MEOGES CIiV ADMINISiflilTOfl ALYCE BOLKE CIiY GIERK Several weeks ago, Mayor Blomquist had a discussion with you regarding use of boulevards throughout the City by the public. I was asked by Mayor Blomquist to research this matter and respond in a letter. According the my review, boulevards are designed to indirectly assist .the transportation of persons and things. Cities have the duty to keep streets and highways reasonably safe for travei, and therefore boulevards are used for the storage of snow and other maintenance purposes. Often, boule- vards are used by utility companies to place certain dist:ibution lines above or below ground for the purpose of providing utility service to various residents. In any case, the property owner holds the duty of maintenance for the boulevards and has the degree of responsibility to keep the boulevards and sidewalks in good, safe condition. A boulevard is not dedicated as park land, to be used for recreational purposes such as.the playing of softball, soccer, and other organized sports. The easement dedicated to the City for the boulevard area is only intended to provide for the usual customary boulevard uses as I have mentioned above. Since the -property owner is expected to maintain his or her boulevard, the City respects the rights of that property owner to determine the use of the boulevard with the exception of the City's need for maintenance and/ or construction within the boulevard right-of-way. If you have any specific questions regarding use of boulevards, please feel free to contact me at any time. Sincerely, ??? ??.?•? Thomas L. Hedges City Administrator TLH/hnd MASTER CARD LOCATION OWNER ? /? (Ii/- I STRUCTURE AND LAND USED AS ?. ? /?-' ?'r- ? i/L D/ i.-/? Permit No. Issued Issued To Contractor Owner BUILDING ? PLUMBING J T CESSPOOL - SEP71C TANK ' WELL ELECTRICAL HEATING GAS INSTALLING _- SANIiARY SEWER OTHER CPL ? -?Q ? O7HER - Items Approved (Inifial) Date Remarks Distance From Well FOOTING -?y-' SEPTIC FOUNDATION CESSPOOL FRAMING Z.2y_ ;1 Z _ TILE FlELD FT. FINAL ELECTRICAL HEATING DEPTH OP WELL GAS MSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING 7 / WELL SANITARY SEWER /?iI. - -?--?=•< .?/ Violations Noted on Back COMMENTS: 5 I a3 a NewConaWCtion Reauirementa • 3 registered sde surveys shoxing sq. fL of lot, sq. ft. of hause; and all roofed areas (20 % maximwn lo[ coverage allowed) • 2 copies of plan shawing beam 8 windaw s¢es; poured fauM design, etc.) • 7 set of Eneyy CalcWatlans • 3 copies of Tree Preservatlon Plan M lat planed arter 711193 • Rim Joist DetaJ OpGans selection sheet (bidgs wilh 7 or less uniLs) DATE P 5/0oL RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•881-4675 RemodellReoair ReauiremeMa . 2 wpies of plan • 7 set of Eiceigy Calculatbre for heated adtlilions . 1 site survey (a eatenor adCNOns & decks • lidipte il hame served 6y sepUc system for additions VALUATION I L';, v J 0 ad SITE ADDRESS 131 Z G Le_ oeY\e-- LR1-- MULTI-FAMILY BLDG _ Y L-IJ TYPE OF WORK- r'?F-Pr d'?? 4, ? Radr FIREPLACE(S) _ 0(3_ 2 APPLICANT STREET ADDRESS LL,i CITY ?v•"> STATE )q ^ Zip ?r33 7 qrL TELEPHONE # `? ??- 69 1- 9 CELL PHONE # FAX #r ? ?•, ^ ? ? `'? ?J? 4r/ PROPERTY OWNER ?? rr `7 /Y ??? v/?a ?j TELEPHONE # 'ySY - ?li:- ZL ...................................................... -....... --------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CA1`EGORY I (J submission type) • ResidenGal Ventilation Category 1 Worksheet Submitted . Energy Envelope Calculatlons Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contraetor. Vlechanical sys[em includes: Sewer/Water Contractor: _ Air Conditioning _ Heat Recovery System Phone # Fee: $70.00 Phone # °----°-------------•-•-------°°------------------°---°-----------•---°--------------------------------------------- I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanc Signature of Appllcant ??-^^'?-?`Q \ ...._._-------_.........._._._W_..-°_..-------..... ............ ...___.-___----------'-""------------° OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 4102 _ Water SoFtener _ Water Heater _ No. of Baths Phone k Lawn Sprinkler E No. of R.I. Baths PERMIT City of Eagan Permit Type: Plumbing Eaaan, Permit Number: EA101804 Date Issued: 10/26/2011 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 1372 Cleome Lane Lot: 017 Block: 002 Addition: Wilderness Run 2nd PID: 10-84351-02-170 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eagan, mn 55123 651-365-1340 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Valuation: 848.00 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Champion Plumbing Terence L MuiTay 3670 Dodd Rd., =100 1372 Cleome Lane Eagan MN 55123 Eagan MN 55123 (651) 365-1340 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Plumbing Eaaan, Permit Number: EA101804 Date Issued: 10/26/2011 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 1372 Cleome Lane Lot: 017 Block: 002 Addition: Wilderness Run 2nd PID: 10-84351-02-170 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eagan, mn 55123 651-365-1340 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Valuation: 848.00 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Champion Plumbing Terence L MuiTay 3670 Dodd Rd., =100 1372 Cleome Lane Eagan MN 55123 Eagan MN 55123 (651) 365-1340 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature x)) \'9� w City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 i[4.5"°° Use BLUE or BLACK Ink i Permit #: Icf6 (12D Permit Fee: �✓' Date Received: l'2' i 3 Steffy)" 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: J RESIDENT / OWNER CONTRACTOR Name: Suite #: Phone: aci-4/q ✓V1 Address / City / Zip: Name: MILBERT COMPANY INC.dba CULLIGAN WATER �� Address: 1801 50TH ST EAST City IN -VER GROVE HGTS 651 .451.-2241 State: MN Contact Zip: 55077 BILL.MILBERT-1 Phone: Email: TYPE OF WORK _ New epiacement _ Repair Rebuild _ Modify Space _ Work irf.R.O.W. Description o#work: RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) PERMIT TYPE Septic System New _ Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) /}/} TOTAL FEES $ ` vV 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.• www.000herstateorsecall.org 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. /f x ti%Y l� tj.Th �l, i,J �R x i 4�4/ App icant sPrinted Name pp�t'sSignature FOR OFFI Rquldspec PERMIT City of Eagan Permit Type:Building Permit Number:EA121832 Date Issued:04/16/2014 Permit Category:ePermit Site Address: 1372 Cleome Lane Lot:017 Block: 002 Addition: Wilderness Run 2nd PID:10-84351-02-170 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Terance L Murray 1372 Cleome Lane Eagan MN 55123 (651) 454-4626 J Carver Construction Inc 1345 Schletti St St. Paul MN 55117 (651) 645-5488 Applicant/Permitee: Signature Issued By: Signature For Office Use , t : ; / 5 � / ,,;a t : 0, AGAN Permit#: / :::: :°.:10 E Permit Fee: 53 7F-i" ` Date Received: --(---" /'e 7 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5684 U: t, ,1 ; Staff butidingins(ections cityofeagan.com L -+ 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: i Name: C V to ML(�C�►ir ky Phone: (Q5/ 7�N 7y/ 1 j 1 Resident/ /�Ci 1 7-.. .Owner £ Address/City/Zip: / ? C 1 .QyV& 1-c1 .ci C _ _ Applicant is: Owner yContractor 7 ....12,6: ..,, t f, , c ki i Type of Work 1 Description of work: t a k I - Gcde.f-r '[.k r vi icA.0 of e x i S tt.iy I i,r` 4.144---,,,</:',,,, L,., I: Construction Cost: , 000 Mufti Family Building:(Yes /No_) ��.� _.�.ue. ��, ... ..�.�,.�...�., � '�� Company: S M C QHS t vc.,11 CL' L t.C * I Contact: �- I Contractor Address: I Cc 3(t%' 1--ca✓1-v c, ,4 41/42... City: 1?OS�.vt,ov -# State: ��Zip: �S 53 0e,0 Phone: CPC/ 7 -6'74'fEmail: S1 &SLo�.5hr4,cicii� �.� 4t z !0`1'x.3 1 1 License# 1g L(,36,&Co 3 Lead Certificate#: �y i -7>s 6 1/y3 If the project is exempt from lead certification, please explain why: ti COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? I Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: - NOTE.Plans and supporting documents that you submit are considered to be public information. Portions of the information may be I.classified as non dpubhc lfzcu revile specific reasons that would the CIOs to concludeghat therare 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.cityofeacian.comisubscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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. ,rvrw.rcpherstateonecall o g 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 p,. s. x SC.0 f S o/ - x 4Ve -.r _ Applicant's Printed Name Ap• rcant's Signature DO NOT WRITE BELOW THIS LINE /3-742 ./e.o tnn e rl - j 2 3 ,? SUB TYPES _*Foundation _ Fireplace — Porch(3-Season) — Exterior Alteration(Single Family) — Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) — Multi >C Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Accessory Building _ Lower Level _ Pool _ WORK TYPES _ New ! Interior Improvement _ Siding _ Demolish Building* Addition — Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation 4, Replace Repair Egress Window _ Water Damage — Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 21S__1-10 Occupancy Y' " ., MCES System Plan Review Code Edition vil$ . (f SAC Units (25%_ 100% x) Zoning City Water Census Code It Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Y Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) X Final/No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Hood Roof: Ice&Water Final Pool: Footings _Air/Gas Tests _Final — Framing—30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding:_Stucco Lath _Stone Lath Brick_EFIS — Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector t RESIDENTIAL FEES : 3�� , Base Fee / it SurchargePA"i\ '` Plan Review r b , MCES SAC City SAC s Utility Connection Charge S&W Permit&Surcharge Treatment Plant c6,- 7 /edCopies ( (646' Y 1 5-1:-.- 2 TOTAL Page 2 of 3