806 Great Oaks LaneL BL CITY USE ONLY
RECEIPT #: nAp
7
SUBD. RECEIPT DATE: O/O i
1997 PLUMBINfi PERMIT (COMMERCIIRL)
CITY Of E!4&AN
S$SO PILOT KNOS RD
E4HiRN,1NP 55122
(61E)6$1-4675
Please complete for: all commerciaVindustrial buildings
multi-family buildings when separate building permiu are not required for each dwelling unit
backflow preventer to be installed in commercial azeas or residential boulevards
Date: ?n I?a ? 4-1 Work Type: l New Bldg. _ Add-on Repair v? U.G. Sprinkler
Is Water Meter Requ'ved? X Yes No Water Flow GPM
To iaquire if Pressure Reducing Valve is required on new service, ca11681-4646.
E"X7
i% of contract price or $25.00 minimum
Contract Price: $
x i% _ $
Service: _ Existing (if coming off domestic line) OR _ New
Backflower Pr venter Permit Fee $ 25.00
Water Meter 1' @ $185.00 or 2" Turbo Q$846.00
ii "new service ' add Water Fermic $ SOAO =
WAC $ 780.00 =
Water Treatment $ 420.00 =
City Installed Tap $ 300.00 =
Permit Fee $ 14l0 0, oo
State surcharge is $.50 per $1,000 of ep rmit fee or minimum of $.50 per permit State Surcharge $ 1. 0 0
Total Fee $ 14? (o ?• ()0
I hereby acknowledge that I fiave read this application, staff that the information is correct, and agree to comply with all applicable City
of Eagan ordinances. It is the applicanPs responsibiliTy to notify the property owner that the City of Eagan assumes no liability for any
damages caused by the City during its normal operafional and maintenance activities to the facili6es constructed under this permit within
Ciry propertylrighFOf-way/easement.
SIT'EADDRESS: gU(o GTw+
OWNERNAME: Ak" O41-' UINIZ r?? rar ? n•?
INSTALLER NAME: J16?? CM-xA,l,.t &u ' TELEPHONE #: '4'6 g - 6?d j
STREET ADDRESS: 6 r0, V 4 X ?? ?-
CITY: OSSEd STATE: I11/J ZIP: 56369
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/ y.i C.! / %t?e? C- .Y 17 7; 11,1'
SIGNATURE OF PERMITTEE
194
CITY USE ONLY
COMMERCIAL PLUMBING PERMIT -1997
METER SIZE
Domestic
Irrigation
UTILITY CONNECTION (APPLIES TO NEW SERVICE ONLI)
$
REV"iEWED BY:
Building Inspector
/v
Date
Ta determine meter size
" See if it is indicated on back of Building [nspections cazd
' Enter address in PIMS Screen 301 to obtain S&W permit #
' Check P[MS Screens 110 (Remazks)
* If galions per minute are less than 25, a I" meter will be required. If gallons per minute aze more than 25, a 2" turbo with strainer
will be required. This information is to be supplied by the designer of the system. Consult with Plumbing Inspector if Licensed
Plumber does not know GPMs.
Before sellina meter
* Chec!c PIMS Scree.^. ?ZO fer anRroval of inspection *esult. Ne meter will be mld before all sewer and water inspections are complete
on a new service. If new service lines are not required, one check may be written for meter and permit costs. Write meter type and
size on receipt, code to 3716-9220 (meter portion only), and forward copy to U61ity Billing Clerk.
* Enter meter size, type, receipt #, date & amount paid on PIMS Screen 110. Copy of receipt should be given to Utility Biliing Clerk.
Miscellaneous Information
* The installer is to contact Building Inspec[ions at 6814675 for inspection of the inside water line and backflow preventer. The Central
Maintenance Division may be reached at 681-4300 for water mm-on.
• If ineter is over 5/8", notify Central Maintenance so they can tell you if there is one in stock before plumber goes over there.
JS/Forms.bld/plbg pcrmit (comm) 1997
PRV _ Yes _ No
hb°l+7 "189