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2012 Glenfield Ct'OO'Dty of Eapn 3630 Pilot Knob Road Eagan MN 55122 Phone:(651)675-5675 Fax: (651) 675-5694 CPI'm ?L 2008 PLUMBING Date: 43/ Site Address: a" OZ2 d/f/7 ? renam: ? Fa afice Us?ei? ? 702 , Pemiit #: ? Pemit Fee: ?`?LL I j Date Received: i Stan: L---------------- APPLICATION sune #: RESIDENT/OWNER Name: ? Phone: ? ,ddress, City/zP: e ry- CONTRACTOR Name: . License #: AddrCSS: /?alqb City. ' L.GL State: ?JL Zip: Phone:232- W0;379? ContactPerson: TYPE OF WORK _ New _ Replacement _ Repair Re6uild _ Nbdity Space _ Work in R.O.W. Deacri tion of work: PERMIT TYPE RESlDENT/AL Water Heater _ Water Softener ? L.Vn Irrigation _ Add Plumbirg Fixtures (?K RPZ /_ PVB) (_ Main _ Lower Level) _ Septic System _ W ater Tumaround 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 Tumaround' (includes $.50 Smte Surcharge) 'Water Tumaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (inGudes County fee ard $.50 State Surcharge) '6r, $90.50 Fire Repair (replace bumed out appliarroes, ducrivork, etc.) (inGudes $.50 Srate Surcharge) TOTAL FEES $ I hereby acknovAedge ttiat this irrforma[ion is cpnplete and accurate; thal Me rvrk will be in conlortnance xdlh Me ordinances eM codes M Me Ciry W Eagan; that I unders[and Ihis is not a rt, but onty an application tor a pemtit, arW wwk is not to start wilfwut a permit; thaz tlre work will be in accordan 'i the app •e4ed Ie e of wo review and approval ot plans. _ ?? x Ap(pl 's Printed N ppplicanYs Slgnature FOR OFFICE USE Revlewed By: Date: Required Inspecflons: _Under Ground _Raigh-In _Air Test Gas Test _Fnal 2004 COMMERCIAL PLUMBING PERMIT APPLICATION t .. CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 ?g' -sn.t?;b Date 06 / Site Address 3,01jI. Gw9f.ci-D G? Unit # TenantName r.;,,,-a-T-y eA:,4 ?.?,•. Former Tenant Name Property Owner Telephone # ( ) Contractor SPAr(?T'A.> Mc` cI l:r.? ,eAL Address "($o! V4 «ty ,j:c;' ,Qo City ct-j c,> PRAilLg State M., Zip 5 5'3 `I 4 Telephone #(9 5 3.) 5 y,Q; - 4ei 57 The Applicant is _ Owner X Contractor _ Other Work Type _ New Bldg _ Add-on Repair RPZ PVB Irriga[ion system * •.ler WObschall to calculate fces. R uired me[er si>e is 2^ [urbo unless smaller sim crmit[ed b Public Works DescripdonofWork ???;E?p txeSr+x. u..PZ'S To inquire if Ressure Reducing Valve is required on new sernce, call 65] 675-5646 Meters - Call 651-675-5300 ro verify that hydrostatic, conductiwty, and bacteria tests passed prior to oickine uo meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" displacement $755.00 Domestic Size & Type Avg GPM Includes high demand devicesY _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (iucludes State Sureharge) Contract Value $ x 1% _$ Base Fee $ Meter(s) Required on all new buildings & boulevard irrigarion svstems $ Radio Meter Read If base fee is 51,000 or less, surcharge is $.50 $ STd[e SU[chazge I£base fee is over $1,000, surcharge is $.50 per $7,000 ofthe Base Fee Follawing fees apply only when installing new irrigation system ? $ Water Permi[ Coniact Jerry Wobschaii at 651 fi7S-5024 for required fee amounts Treatment Plant D I ^ ? ? ? U r Water Supply & Storage JUN 2 4 200 state surchaige By $ Total Fee I hereby apply for a Commercial Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in Codes- that T understand this is not a permit, bu[ only an confomiance with the ordinances and codes of the City of Eagan and with the Plumbin7/( application for a pertnit, and work is not to start without a pertnit, that the work will cor' ance with the approved plan in the case of work which requires a review and approval of plans. ??,?.& I??? Appli canPs Prin[ed Name ppplicant's Si amr 20450 ? 1990/ 1992/ 1994/ 1996 1998/ 2000/ 2002/ 2004 DIF`FI,EY COMMONS GLENFIELD COURT page 2 of 2 10 20450 070 02 8-plex-other 1/2 = 4070-4076 Beauer Dam Rd 10 20450 060 02 8-plex-other 1/2 = 4062-4068 Beaver Dam Rd 2012 Spnnkler Meter