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PLUMBING (CONIMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
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SiteAddress ?(c6 ) SoNr,uy C.aer, 12,04E L-ayf Unit#
Tenant Name pu ?Yt WorH E5 Former Tenant Name
Property Owner 1Pu , rE. "E5 Telephone ti (y 5 i )q5 z_5 Zoo
Contractor DF?M p.rz V- Pw.,,,, ri 1v 4
Address 8`HS QuqiL_ I-liw (Zo0.p City M4PA_ `(40v`ff-
State M?I Zip S S 3i1 Telephone #( 9&3) y 1{o - 9 4 zY
Asu,a errY t,e946a11rnl rrvc_ 64-99o-52br PAw-
The Applicant is _ Owner Y, Contractor _ Other
Work Type _ New Bldg _ Add-on Repair RPZ PVB X Irrigation system *
• Jer y Wobschall to calculatc fees. Re uired meter size is 2" [urbo unless smaller size ermitted b Public Works
Description oF Work LCN01i4Qb 2ww 9 SpR?,,,w.?L
To inquire if Pressure Reducing Vatve is required on new service, call 651-675-5646
Meters - Call 651-675-5300 to verify that hydr static, co?ductivity, and 6actqpa tests passed rior to pickin u meter
Irrigation Size & T}pe I'k` Avg GPM 4,_
Fire Size & Price 3/4" disolacement S 156.00
Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permit Fee $50.50 minimum (includes State Surcharge)
Contract Value $ x 1% _$ 'Base Fee
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Meter(s)
Required on al] new buildings & boulevard irrigation svstems $ Radio Meter Read
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If base fee is $1,000 or less, surcharge is $.50 $ $TdtO $lliCh3Tg0
Ifbase Cee is over $1,000, surcharge is $.50 per $1,000 of [he Base Fee
Following fees apply only when installing new irrigadon system WaTer?_Permi ^ n
ConqctJerryWobschalla[651-675-5024forrequiredfeeamounts W¢TOr /? Y2
$ S O y. OD Treatment Plant
g 9 Q,5 00 W?r Supply & Storage u
StaYe Surcharge
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$ 'I Tofal Fee
I hereby apply for a Commercial Plumbing Permit and acknowledge that the inforntation is complete and accurater that the work will be in
conformance with the ordinances and codes of the Ciry of Eagan and with the PlumbinLP&des; that=i=understand=fliis-is not a perrnit, but only an
application for a permit, and work is not to stan without a pertnit; that the work will be in ace?Tdance with tmy?ppj oved plan in the case of work
which requires a review and approval of plans. ' /f
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ApplicanPs Pnnted Name A lica?Ys Ygnature
City of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
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I Permit#:
j Permit Fee:
? DaleReceivedap'??'J" ?
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? Staff: ?
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2008 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: ?/T ? Site Address: KDO ( Jahnny fl?+UE iUk_ 1_41-)t
Tenant: OA-K?(-cbVe- RvNAe?tk/!?@rS ?-i??C7C?f}?T('C?/v Suite#:
PROPERTY Name: K,1 E' t(? Phone: ?5? ??
OWNER ?d 5 HeA_ S- Vi • . C `
CONTRACTOR Name: DENAAi2L?, P1UMi3J ?-/C 2f-C. Licensett:
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Address: _p qql? ?+4v (r t't? ? ? ??City ffie (o!We State Ap- Zip: 65w
Phone:7677'* ^ IV3 ContactPerson• DCJ?"?'S
TYPE OF New Replacement Repair Reb ' _ Modify Space
- - Work in R.O.W.
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WORK D
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escription of work:
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PERMIT TYPE COMMERCIAL
_ New Construction _ Modify Space
_ Irrigation System ( yes I_ no) (_ RPZ PVB)
• Rain sensors required on irrigation systems
• Avg. GPM _(2" turbo required unless smaller size allowed by Public Works)
Meters Call (651) 675-5646 to verity that tesis passed prior to pickina uo meter.
Domestic: Size & Type FIre: Size & Price 3/4" meter 183.00
Avg. GPM High demand devices? _Yes _No
Flushometers Yes No PRV Required _Yes _No
COMMERCfAL FEES:
$50.50 Minimum (includes State Surcharge) OR Contraa vaiue g x 7q,
Pertnit Fee
Required on ALL new buildings and boulevard irrigation systems 4_$ Radio roleter Read
- If Permit Fee is less than E7,000, surcharge is $.50 =$ Meter(s)
- If Permif EP& is > $7,000, sumharge increases by $.50 for each $1,000
$1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge). _$ State Surcharge
Following fees apply when installing a new lawn irrfgation system. $ water Perma
Call the City's Engineering Departmenl, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Suppry 8 Siorage
$ Sate Surcharge
TOTAL FEES $ PM
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I hereby acknowletlga that this information is complete and acwrale; that ihe work will 6e in conformanca wtlh ie ordinances antl cotles of the Ciry f Ea an; ihat I undarstaM this
as
e ot work which
Is not a parmit, hut only an application for a permA, and woM is not to stert without a permit that [he wo e in accordance wilh th ppEpoldo
requires a review antl appmval of plans.
= DENNi 5 5 ?re?(eY' X
Applicant's Printed Name A plu
FOR OFFICE USE
Approved
Date:
Ground Rough-In Air Test Gas Test Final
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