1148 Lexington Ridge Ct-I31a0 -Is
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2006 COMMERCUI. pI.U??INGPERMIT APPLICATION
CITY OF EAGAN p? G? USS
3830 PII.OT KNOB ROAD, EAGAN MN 55122
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Date / / 1I - 1 C
Site Address ? QX \ VnCQ n C? 2 UU Unit #
Tenant Name Former Tenant Name
Property Owner Telephone #( )
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Contractor
Address City ?DfcY,- ?1 ?Ij State ?'\ Zip _-S:S35 ---*;)-'Telephone # 37/3?
License #?? Expires:
T6e AppGcant is _ Owner Contractor _ Other
Work Type New Bldg _ Modify Space Irrigation System** _ Yes No Work in public r-o-w / easement7
RPZ PVB: New _ Repair/Itebuil _ Replace _ Remove
Rain sensors are reuired on irri ation s stems
LaL"'"1 ,
Description of Work 1A e ? A) R4-ec C `?3D6
To inquire if Preswre Rcduring Valve is required on new servicq ca11631-675-5646
Meters - Call 651-675-5300 to venCy thst hydrostatic, conductiviry, and bacteria tests passed orior to nickine uo meter.
Imgation Size & Type I I t Avg GPM 2" hubo req'd unless smaller size allowed by Public Works
Fire Size & Price 3/4" meter $167.00
Domestic Size & Type Avg GPM Includes high demand devices? _ Yea _ No
Flushometers Yes No PRV Required _ Yes _ No
Permit Fce $50.50 minimum (includes State Surcharge)
Contract Value $ x 1% Permit Fee
$ oZ l0 .00 Meter(s)
Required on all new buildings & boulevard 'uneation svstems $ ? Tl •? O Radio Meter Read
$ ' tU State Surcharge ?
If nertnit fee is less than $1,000, aurcheree is $.50
If nermit fee is morc than S1,000, aurcherge fs S.SD for each $3,000 owed.
Following fees apply when iustaRing new lawn irrigahon system ])•QU Watei Permit ?
Call the City's Engineering Depaztmen[, 651 •675-5646, for required fee amounts
? g !0 3G: Treatment Plant
' g Water Supply & Storage
g _P30 State SurcUarge -?
Total Fee
I htteby apply for a Commerciai Plumbing Pevnit and acknowledge that the infolmation blicanVs e[e and accurate; that ihe wmk will be in wnfotmance with the
dinances and codee of ihe City of Eagan and with the Plumbing Codes; that I understand t t a p lication for a peimi; and wark is not ta 'es
'thout a pemut; th e work will be in accordance with lhe approved plan in ihe cese wlilrequires a ew and approval of pians.
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pp icanTs Pnnted Name ? Signature
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C?ty o# Eagan
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-,1?8 L;ti $I`r,e' C.-i
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?otai keceips (1alount 517.06
1172357 =0:18;26
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