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4020 Nicols Rd?? 5 FS'7 3 aja- - ,?..?..' vwj PLUMBING (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 O ? ,_j E-' S o E93 ? -30- a3 !% ? _6-?) Date (!19 / Oq / 0-2-) ? Co ,S , Site Address 4z)?o Unit # Tenant Name Former Tenant Name Property Owner Telephone # ( ) Contractor • Address ??j,a'7 (?jpc?? ? °.7 ? City State (?1N Zip Telep6one # ( ?y?J ? The Applicant is _ Owner _ Conuactor _ Other Work Type _ New Bldg Add-on Repair RPZ PVB Irrigation system " • Jer Wobschall to calculate fees. R uired meter size is P' turbo unless smaller size ermitted b Public Worka \t ` - Description of Work n \?"?.??0o To inquire if Pressure Reducing Valve is required on new service, ca11 651-675-5 646 ? Meters - Cal] 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to oickine uo meter Irrigarion Size & Type Avg GPM _ Fue Size & Pnce 3/4" disolacement $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 $ Meter(s) Required on all new buildings & boulevard irrieation svstems $ Radio Meter Read If base fee is $1,000 or less, sureharge is $.50 $ St3tC $uLC}1&LgC If base fee is over $1,000, surcharge is $.50 per $1,000 of the Base Fee Following fees apply only whert installing new irrigation system ---?Y---- $-?--Y-??-----Water Permit ? Contact Jerry Wobschall at 651675-5024 £or required fee amounts ? '? - ? lant $ _-- . T;eatrnent, I ? $ ` • ' ` Water Supply & Storag Q„ ' ?G , I arge $ 1- i I I U .) ? State Surch ) ? , - ? ? ----------------------------------°----------------------------------------------------- -------'-'----- -` ------ $ ? Total-Eee=? " ? -- ---?- - - I hereby apply for a Commercial Plumbing Pemtit and acknowledge that the informa[ion is cbmplet d aceurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and witn [he PlumUing Codes; [ha d tand this is not a pemvt, but only an application for a permit, and work is not ro start without a permit [hat the work will be in accord ce it the approved plan in the case of work which s a rev of plans. 4 -?eo5 sDL% P? 0 (\ 'AppliBanPs Si ate ApplicanPs Printed Name ?J