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1769 Hickory HillYILLAOE OF EAGAN WATER SERVICE PERMIT 3795 Pilot.Cnob Rood PERMIT NO.: 176 _ Eoqon,MN 55714 DATE: 6/59/75 Zoning: PUD No. of Units: . Owner: NPw Hnrizo n HnmaG - Woodaate Sj _ -? Address: rt? Sire Address: 1769 Hicko ry Hill Plumber: Thompson P lumbing Co. M ter No.:-?Z? Connection Chazge:140-D0 pS7_. Sa-=' 2 Account Deposit: Reader No.: 7-S??r,l ? i Permit Fee: 10.00 il Pa I o to am wiih.fhe Village of Eayan Surcharge: .50 Ora'a?esl l° Misc. ChargPC: '? d, •e'---6 Tocal: -1L'0% 4 By Date Paid: . Dace of Insp : Insp.: . YILLAOE OF EAUAN SEWER SERVICE PERMIT 3795i%r9.' 44 Rood PERMITNO.: 2525 Eagan, MN 55122 DATE: 6/19/75 Zoning: PUD No. of Un1ts: Owner: Npw Ho izon Homes - WooQqate II Addreee: Site Addrese: t 7a4 ui rkO.-v ra; 71 Plum6er: mhmcnpson Plurtbinq Co I aprw ro eomply wIM the Vlllaqe ef fwpan Connectfon Charge: 425.00 pd Ordinanew. Account DepoeSt: ia p Permit Fee: 10. 00 oi Surcharge: ' 50 jod By: Miec. Chargee: Date of Inap.: Total: Insp : Date Paid: . ities DiRital Oualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. CITY of EAGAN BUILDING PERMIT .._, .. Ownu ......... ...... . ...... ...... ............... `/) , , . . ?' -F -. --C .- /, 1k ... ........ ....... ...... ................ . .............. ........... .... Addreec (preaen!) • • ? ? ? ? ?' ' Suilder ...................................... ....................... ............................ ... Addeesa ..... DESCAIPTION N4 3603 3795 Piloi Kno6 Road Eagan, Minneso2a 55122 454-8100 Dale .... ......-. ------ •?--- Siories? To Be Used Fas Fronf Depih Haigh! Eal. Coo! Pe:mi! Fsa Remssks LOCATION .? 7. i " , S-e 52reex, noaa or o[ner uesanpvon oi ?ocaxion Lo: oiocr waaiaon or -rraet i ? Qa.c ?..?.Z..Y.t: /: This permit does nof auihorize the use of sizeels, roads, alleys or sidewalka nor does i2 giva the ownet oe hit aysnt the righito creafe enp situafion which is e nuisance or which presenis e hazard !o the healih, safely, eonvsnienes and general welfare !o anpone in the eommunify. TH1S PERMIT MUST BE KEPT ON TFIE PREMISE WHILE THE WORK IS IN PROGRESS. . y !hel ....? . . . ............haspermission !o erect a... 1_71:l....." --?<_..._ L_ ?.. This is !o eeriif l- :..!:_.??1`.:...... .. ...........¢ ..:.'-....."' .............. _upoe fhe'above described premise su6jecY !o thc:p ovisions of all applieable Ordieances for the Cify of Eagan - ' . I c•--te ?e?_ liL?. ?- .? ? t"?--- . ° .......... ..._..._........... .:.°---..._.........--'it "°--.......°-........ Per ....... ...... .--............-................ ......:......}..... Mayor ?J Suildinq ?tpaeloi ? ? ? CIT]t OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERNLTT NO.: 736 _ The City of Eagan here + grant??Q?'_? oM frP +,?'?' ?'., si?ve. ¢o:'. M : . ' Permit fori ':(Claner) " mv E ?.?, , . . - at ],771. ,1767. 1(69 ?iLterv 7mrour8Llemt t0 8pp13QeJ - ??+ Fee Paid: 560.00 dated this 30_ day of _jjgpt_ ;"T915_ 1.50 s/c Building Inapector N?chs?iiczl Permits: bic: 'i' ,i;nl: a' . _? . , / ? - l/ io CITY OF E.4G.+N 3795 Pilot Knob Road Eagan, Minnesota 55122 PERiY'"iIT NO,: 571 The City of Eagan hereby grants to m1,a=son pt nnut ?ng oo. ef 72201 Minnetonk++ B1Vd a orsnmrxr. Permit for: (Owner) NeN gprizon Homes - Woodaate 1775 76?74,72,70,68,66,64,62,60,58,56, and 54 9Palnut Iane 8nd 1757,59,61,65,67, at ?Z71, ,,,,A sA plrknrv uinursuant to application dated 6/16/75 Fee Paid: $d7n_nn dated this lgth day of Juna , 19 75 10.50 s/c Building Inspec Mechanical Permits: Bid Total: Wo A nd ,b "' L Ig. R G Ciinr OF EIAG <iN Pi7.1Y Knob FOSd Eag:,n, P%iinnoso'la 551•22 FEFu 7IT P?0 , : Tlie Cit,y of Eagan hereby gr:nts to _??ers Soft Water Co. o£ Water Softener permit for: (Owner) T. Knifel a- 1769 Hickory Hill ? pursuant to applieWtion daied 5/24/76____ Fee py_.d; $5.00 dated this . SO 5/c 27 aay of -MaY_ip i976_= P.uilc,irig In::peo t o4° ---- r.leaharic:l Permi.ts: I Hid iot al: CITY OF EAGAN Remarks Addition Woo?gate 2nd Lat 18 a,k Owner ? ?` , •' •l , ' ? -- Street 1769 Hickory xill Improvement Date -Amount Annual Years Payment Receipt Date STREET SURF. 3 1974 8.52 1.70 Pi STREET RESTOR. 1976 ? 0-34.7 344.92 Pg7d GRADING SAN SEW TRUNK Y 197 11 .72 7. ? 1 P31d -MEWER LATERAL I 197 3 .71 1022. Paid WATERMAIN ifWATER LATERAL 197 3 itWATER AREA 197 itSTORM SEW TRK 197 3 itSTOFM SEW LAT 1976 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 140•p0 316 6-3-75 BUILDING PER. 3 3 316 6-75 sAC 2 .00 31 6-3-75 PARK 120.001 16 6-75 CITY USE ONLY PERMIT #: (? RECEIPT DATE: $002 RESMENTIA1.. MEL'RALMCiAL ?? ?PLICiATIOR CPfYOF KA6lkA S$SO fII.OT KAOB SD EA6iqR 3I1Y'3.51 EY 651-6$1^4675 Please complete for. ? single family dweilings townhames and condos when permits are required for each urtit Date: Cl- ai ` 00-1 SITE ADDRESS: --44 , OWNERNAME: 4'?c??6 C-?L ?C??YISGV? TELEPHONE#: (o 1 -_L?-?T`30I-7 INSTALLER NAME: STREET ADDRESS: cITY: Burnsville Heating & AlC, Inc. TELEPHONE #: e s an ve. . Savage, MN 55378-1122 " STATE: Z{P: Place a check mark next to the permit work type ? Add-on, modification or alteration to existin dweliing unft $ 30.00 • fumace replacement • air exchanger . airconditioner . SEP 3 0 2002 • other Nature of work: 0'? F:7-L.A-?VV1G( State Surchar e $ .50 -?0 '" Totai - K)annc pF? SIGNATURE O PE EE 1102 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: 8008 COEMWRCL&i. MMCHANICAi. PEMIT i4PPLICATION CiTY Og £A6AN ssso Pu.o•r xxo$ itn KlGkN, lilN 55192 _ 651-8$1-4675 Please complete for alf commerciatrindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: STTE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLI): PHONE #: WAS THERE A PRE VIOUS TENr11V1' IN THIS SPACE? _ Y_ N. NAME: INSTALLER STREET ADDRESS: CTI'Y: TELEPHONE #: WORK TYPE: Specify Nahue of Work: STATE: ZIP; - New cos+suctian _ Interinr Improvement _ Pmcessed Piping ? Install U.G. Tank _ Remove U.G. Tank N'hen installing/removtng underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. Fces: I% of contract price OR $50.00 minlmum fee, whichever is greater. Underground tanlc removaUinstallation = minimum fee Contractprice: $ xl%=$ State surcharge TOTAL $ (Base Fee) calculate at $.50 for each $1,000 Base Fee SIGNATURE OF PERMITTEE Updated 1102 PERMIT # "i ? ? ? n ,Afo,?-1>(P Please complete for SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: CITY: RECEIPT DATE: L' ? h?-V ' U5IDEN17AL fLUMSINfi PV MIT AfPLICATiON ?"OFEA&AN SSSO PILOT I{AOB i{D fs4&AP, b1N 55122 651-6$1-4675 ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system I? 1 WSJ 1.1i Lx? Place a check mark next to the ermit work t e TELEPHONE #: &% I ?)-7 (AREA CODE) TELEPHONE #: 9SZ_ 93J -967i? (AREA CODE) STATE: ZIP: - New residential dwelling unit under construction and not owner/occupied ? $ 90.00 ' Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ ? • lawn irrigation system • waterturnaround vowt I N t ` )F'?r-? - a urec work: - Septic System, new/refurbished - $ 225.00 • includes County & Consulting tnspector fees _ • requires MPC license ?'la. ,?UN 22 State Surrharge .50 - --- ?`' _ ?• Jv _ Total $ Reminder. Be sure to scheduie inspections af alterations, i.e. water heaters, water safteners, etc. 1 hereby acknowledge tnat I have read this applicalion, state that [he informahon is correct, and agree to compry with all applicable Cityof Eagan ordinances. It is the applicant's responsihility to notdy the property owner ihat the City of Eagan assumes no liability for aryMdamages caused by the City during its normal operetional and maintenance activdies to the facihhes constructed under this permil within City NpertylnyyJ-of-way/easemen[. Updated 1101 /ao95/ , r/ gL I^ CITY USE ONLY L RECEIPT 77C9>?`?" ? iy SUBO. RECEIPTDATE: ? -7/ilv' 1997 MECHANICAL PERMIT (RE5IDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings . townhomes and condos when permits are required for each unit New construction Add-on furnace V Ad 04-on a'v condit;oning Add-on air exchanger, i.e. Vanee sys±em, etc. Date: /'99z FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.OD ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL °ZQ.3 n SITE ADDRESS: OWNER NAME: INSTALLER NAN STREET ADDRE cirv: t PHONE#: PHONE#: ziP: .5.,gqR CITY USf- ONLY L BL SUBD. RECEIPT#: RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. DATE: CONTRArT PRICE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: . $25.00 minimum fee or 1°/a of contract price, whichever is greater. . Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of eo rmit fee due on all permits. CONTRACT PRICE x 1 °/u PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE#: TENANT NAME: (IMPROVennerrrs oNLv) INSTALLER: ADDRESS: _ CITY: PHONE SIGNATURE: STATE: SIGNATURE OF PERMITTEE CITY INSPEGTOR ? all commerciaVindustnal buildings. ? multi-family buildings when separate permits are not required for each dwelling unit. ZIP: g> ? ., City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1769 Hickory Hill Lot: 18 Block: 6 Addition: Woodgate 2nd PID:10- 84601 - 180 -06 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684 -4647 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: James R Palmehn 1769 Hickory Hill Eagan MN 55122 -2412 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 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 Building EA085286 08/14/2008 ePermit Use BLUE or BLACK Ink r------------s__-� . I For Office Use �ti/�j�� i / 5.�/��r�� � � Permit#:/ � L � ' Clty of �a��� I Permit Fee: �/�� 'I /� � 3830 Pilot Knob Road r- I I Eagan MN 55122 RECEIVED �� C� ' � � Date Received: ' � Phone: (651)675-5675 � I Fax: (651)675-5694 S�P 1 � 2��� StP � � �}��i5 i Staff:, i 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ���3` ��S SiteAddresst 'llo� �c.kc� • Unit#: ��Si��� : Name: �,:.�,. ✓3�r�5�ort� Phone:_ l�la-3a?'y�� Q�y#�Q� Address/City/Zip: I�ia�l �7 )G�ry �r�l5 �r�tJt 4 ~: Applicant is: Owner Contractor ` �� Descri tion of work: _ � ✓1�-��" <-- r -�-��"�-�" ��JW�..�f ��7'y�p�of 11�W"k p (�✓4�v►��C T fi� h-f-t'�v� _ .. Ge► Construction Cost: _����� ,-- Multi-Family Building: (Yes /No� � � Company:-��v.r..t.�. /�S�.-���c�n Contact:� 5�.,�1.�.�, ��t����' . Address: �f� �, �c�,vu� �Tt-c�c..�" City: �2 /�e. f'�ct�--ux ' State:�Zip: .5 t31� Phone: �07' ��'�°�' Email: �Pay• S t�. S�'-t't/lCe��y�Tiovi ,Co ' License#: �L�y Lead Certificate#: '�'^� d✓��"t ' « � ��y� If the project is exempt from lead certification, please explain why: �'��� ��-�- �- 1��6��`1�3 "� C. � �� �� ��9 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 ptan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: I N�T�':P!�»s and�upp��g c�lv+�rr�er�ts�ha�f;�r��r sr.��#are cc����d8red i�6e��tb�i�f�ar•t���3c�rt. Por�%�s of ' �he irr#arrrrafior�r»ay�ie.clas�i�ed as�ot��uhl�c i�'yflu pro�i�l���ec��re�ot�s f��#wau�d pe��t ti�e Clfy.� c�o��/ctd�t�at the a�e trad�seL��, .. 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.gorrherstateonecall.orq 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State B ding Code must be completed within 180 days of permit issuance. x /'!°l�� �i'�Y✓�1�� X Applicant's Printed Name ApplicanYs Signature Page 1 of 3 � ' ��?� �,���y �, �I DO NOT WRITE BELOW THIS LINE ���7�r�— SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool _ Accessory Building WORK TYPES New Interior Improvement _ Siding _ Demolish Building* Addition Move Building _ Reraof _ Demolish Interior Alteration Fire Repair _ Windows Demolish Foundation Replace _ Repair � _ Egress Window � Water Damage Retaining Wall 'Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 3y �''v Occupancy c, �� MCES System `-' Plan Review Code Edition i ' SAC Units "` (25%_100%� Zoning /��� City Water Census Code �34i Stories � Booster Pump — #of Units � Square Feet — PRV " #of Buildings 1 Length ,. Fire Suppression Required " Type of Construction � Width -- . REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) , � , - �.` � Final/No C.O. Required Foundation • . ,� ,.• � HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control . ,y,,.r'""✓f Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee ,�O q ?�' Surcharge Plan Review 33t � MCES SAC City SAC Utility Connection Charge S&W Permit 8�Surcharge Treatment Plant Copies 1''S � '�d• d�.s — S� TOTAL Page 2 of 3 � �. Use BLUE or BLACK Ink �-----------------, � For Office Use I Cl� o��� �� � � 4 ' � � � Permit#: � �� I I 3830 Pilot Knob Road � Permit Fee: � Eagan MN 55122 I � Phone:(651)675-5675 � Date Received: � Fax:(651)675-5694 � j � Staff: � ��������_���_�_��J 2015 MECHANICAL PERMIT APPLICATION ❑ Please submi two(2)sets of plans with ail commercial applications. � I // i � �pl �v� �Gt � Date j /S Site Address:./ �G� ���C�d� � l' j��rS'%� 4��� . Tenant: Suite#: m..,,..,��, �.,,.�, r.�,� �_..� ...,,.,�e��mx ��� � Resident/Owner Name: Phone: � , Address/City/Zip: /7� ��c�G.R-� ��i`� >2„ G`� �'Jn/ h?ri/. �j�/��; � ������ ���� .� ��.�,,,a..a $ , / / - / , � Name: L-Gj.�l�i�.j' �' G fc�<<�,r4 �'�i� � License#: �..F�i�C���� � (� (� �j � � Address:d �a �� ��l�'�-2/ cf�'�. City:�����G:�/� � Contractor � c� � State:_���,�1/ Zip: �c!�Q �1 Phone:�.S~v� 6 �,� :.2 7�'c� %/�'L. ��t'.ts' c+. �- ,v : K Contact: � 5' �... Email�C�.°< e-�'�..�✓' v �+" c�/�i�r_/— �,_.�..��...�.,.,..��,��,;, � � New �Replacement Additional Alteration Demolition � � — — Type of Work Description of work. �,�t� �'� � � � NOTE;Roof mounbedand ground mounted mechanical equipment is required to be screened by City ; � Code. Please con#act the Mechanical Inspector for information on permitted screening methods. � �.�.. �,. �� �� � � , � RES/DENTIAL � COMMERCIAL � �Fumace � New Construction Interior Improvement � � — — � P@Plillt Typ@ —Air Conditioner _Install Piping _Processed � � Air Exchanger Gas Exterior HVAC Unit � ` � _Heat Pump � _UndedAbove ground Tank �Install/_Remove) � � Other � — �»�,��,,,,»�,..u���. _ ; �RES/DENTIAL FEES ` � $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge � � $100.00 Residential New, includes State Surcharge =$ � �- �� TOTAL FEE I ''COMMERCIAL FEES ,���,,� .�,�.N.u... ��,.,��..., _.��.�,,,ar��a.�n.s� � �I Contract Value$ x.01 ` � $60.00 Permit Fee Minimum � I � $70.00 Underground tank installation/removai =$ Permit Fee � � Surcharge=Contract Value x$0.0005 -$ Surcharge ;; £ If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE � � �a.� .,��,.,�. ° �,�..,�,�,,� ,.�.�,.0.�-.. ��.,.,��,,,,�r��,� 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 ��� C �Z�V L. X .� ApplicanYs Printed Nam A icant's Signature FOR OFFICE USE Required Inspections: Reviewed By Date: Underground Rough tn Air Test Gas Service Test In-floor Heat Final HVAC Screening r� � t Use BLUE or BLACK Ink � �-----------------, ' � For Office Use I � . � o(�' I ���*T �� j����� I Permit#: � y1 N_ I o� t J �� � Permit Fee: i 3830 Pilot Knob Road i Eagan MN 55122 I Date Received: � I Phone: (651) 675-5675 j � Staff: Fax: (651)675-5694 L________________� ` 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION , � Date:�". 11,�'�' � ./S� Site Address.l7� ����,�'v,+L ����� �� � �,�n1 ��s�/, cS�,S �o�� Tenant: Suite#: ��� ��».ti.�..� ��,�.,,...m.,_- �.�„ �� ; ResidentlOwner Name: Pnone: � � Address/City/Zip: �� !T-��'z` f`frl�J. �/d � �' ,%�/ � l�3-�--^ _�,,,..,� ��, �,av,.� �Aa�„w / ��� �i , : Name:��;9/��J" ����2C�i ai/'4 �.r�c���T� License#: �G ��'�C�S 7 � � Address: U UY� �� ��r'�'+/ c�� City: ,(}C!� t-Cq-�iie ` Contractor � � State:�i�'i v., Zip: ������ Phone: �5�� ��� '— a �J�� � � � Contact: � L�� � Email:Ll�'�v e !' � �i�'ow�'e w,vc� �eL" � �,,...� � ,.,� ��� � Type of Work —New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. � � Description of work:!/�y��"����� ���� ����` ' �,�_ou�=.���, � _ ___ __._ �_�. r` RESIDENTIAL F ' � �Water Heater � � �Water Softener Lawn Irrigation(_RPZ/_PVB) � � Pet't111t Type � Add Plumbing Fixtures(_Main/_Lower Level) ; � Septic System � ; � _New Water Tumaround £ ���� _Abandonment v y��� 4 �� ��r�� ; , _ .... _.._.,« , 4 RESIDENTIAL FEES: � � $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) � � $60.00 Lawn Irrigation(includes State Surcharge) � ; $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Tumaround"(includes State Surcharge) � � `1Nater Turnaround(add$210.00 if a 5/8"meter is required) � $115.00 SeptiC System New(includes County fee and State Surcharge) $ TOTA�FEES$_��.L� � 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. ww�v.qapherstateanecall.orq 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 wil► be in accordance with the approved plan in the case of work which requires a review and approval of plans. �� ��dv �/ X � X �,,.'�.' ApplicanYs Printed Na p icanYs Signature FOR OFFICE USE Reviewed By: Date: 12equired Inspections: ' Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: