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3225 Random RdCITY OF EAGAN Remarks Addition AUDITORS SUB #38 Lot -8 ' Blk 3Parcel 10 03800 050 08 Owner k)uJ.,aQl- ??? L?t?xStreet 3225 RdAdOIII R,?ad R#1 State St. Paul, MN Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ti? 1974 740.00 74.00 10 Paid STREET RESTOR. GRADING SAN SEW TRUNK 1Z,1 1970 125.00 5.00 25 Paid SEWERLATERAL 1972 1411,90 70.59 20 Paid WATERMAIN WATER LATERAL 1 9 2 WATER AREA STORM SEW TRK 1984 360.00 24.00 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 260.00 3467 4-22-71 BUILDING PER. sa,c 200.00 3467 4-22-71 PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: + c? T ? ,y ;.3PERMIT SUBTYPE: "" 01' o APPLICANT: F; 1rl Ili TYPE OF WORK: -1 ? Permit Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CITY OF EAGAN N2 c 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?? r?r?V PHONE:454-8100 y BUILDING PERMIT Receipt # To be used for ADU I e 1014 Est. value $9, 7UU Date JCTOIIr:R 20 19 $ 6 SiteAddress 3225 RANDC1Pi iZUAi? Erect ? Occupancy Lot 5 Block 8 Sec/Sub. AJDIT0R' S SLTF3 Remodel ? Zoning Parcel No. #3$ Repair ? Type of Const Addition ? No. Stories °C Name U?''?Z(UHT H LAItSUV Move ? Length W Demolish ? Depth o Address S??1F` Int. Impr. ? Sq. Ft City Phone 454-8982 Install ? ¢ 5Ai °.E APProvals Fees = o Name 0¢ Address ~ City Phone ? W Name ? ? Address i W City Phone I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and Citv of Eaaan Ordinances. Signature of A Building Permit is issued to: I)Wi Uii'l` H t all work shall be done in accordance with all applicable Building Official Assessment Water & Sew. Police Fire Eng. Planner Council eldg. Off. 10/20/81 APC Var. Date Permit $80• 50 Surcharge 5.00 Plan Review SAC Water Conn. Water Meter Road Unit Tr. PI. Parks Copies-"5. so- Total _ on the express condition that ite of Minnesota Statutes and City of Eagan Ordinances. PermR No. PermN Holdor Date Telephone # Plumbing H.V.A.C. Elsct?? (,?75 Z/; '?? ?1- g,2 ?. ? Sottener Inspeetion Date Insp. Commenb Footings 1 1-446 *4 - OD O (/e.°f- r - /.AC'/l /,?' Footinga II Foundatbn Framing RooHny Rough Plbg. Rough Htg. Insul. ? aB Flreplace Flnal Htg. Final Pibg. Bldg. Final ? /'/.P'? t. ? • /u? ? ?: ? ? ?!t.,:Y' <:`,[??i ? /_ ? CeR. Oec. Deck Ftg. Deck Frmg. WNI Pr. Disp. CITY OF EAGAN t?1 fl c 3830 Pilot Knob Roa?i, P.C?.,3ox 21-199, Eagan, MN 55121 'v " ???? 0 BUILDING PERMIT PHONE: 454-8100 Receipt # 6 /7 / To be used for ADD I TION Est. Value $ 9,7 00 Date OCTOBER 20 19 8 6 Site Address 3225 RANDOM ROAD Erect ? Occupancy Lot 5 Block $ Sec/Sub. AUDITOR' S SUB Remodel ? Zoning Parcel No. # 3$ Repair ? Type of Const. Addition ? No. Stories ¢ Name DWIGHT H LARSON Move ? Length z SAME Demolish ? Depth o Address Int. Impr. ? Sq. Ft. Ciry Phone 454-8982 Install ? ¢ SAME Approvals Fees .O Nama 0 15 -c Address City Phone F W Name ? ? Address a W City Phone ?Assessment I hereby acknowledge that I have read this application and state thatthe information is correct and ree to comply with all applicable State of Minnesota Statutes and C f Eag Ordinances. Signature of Permittee A Building Permit is issued to: DWIGHT H LARSON _ all work shall be done in accordance with all applicable State o innesc Building Officiai Water & Sew. Police Fire Eng. Planner Council Bldg. Off.10/20/8E APC Var. Date Permit $ 8 0. 5 0 Surcharge 5.00 Plan Review SAC Water Conn. Water Meter Road Unit Tr. PI. Copies_ _ ? Total$8,5 . 50 - on the express condition that Eagan Ordinances. REQUEST FOR ELECTRICAL.,-INSPECTION .?;. EB-00001-05 1 See instructions for compfe?i'te'g???Tts form on back of yellow copy. r P7qCZA "X" Below Work Covered by Thrs Request ? Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Electric Neatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ocner Peci v otnFr (snerirY) [_mmnute lncnectinn Faa RP/nw # Fee ServiceEntranceSize # Fee Feeders /S ubfeede rs # Fee Circuits Uto 00 Am s 0 to30Am s 0 to30Am s Ab ve 200 Amps' 31 to 100 Amps 31 to 100 A s Swimmin Pool Above 100_Am s Above 100_Am s Transformers Irrigation Booms b Partial-'Othet:_Ee Signs speciai inspection S ?'p TOTAL EEn / G ?') Remarks ? Rough-in Date 1, the Electrical InsDector, hereby certify that the above Final OjZ ,, inspection has been made. ,fs request void 18 montfs from This request void la/(/Q? ?O p ?o 5 18 months Trom ? C 6 7 5 6 4 ,L 5; V8, .?s? ?021 c 0 Request Date Fire No. Rough-in Inspection Requ ed? ,,,_) DReady Now I\.YWill Notify Inspec- /- d S U? Yes ? No , ??? 1or When Ready Licensed Electrical Contractor 1 hereby request inspection of above [] Owner electrical work installed at: Street Address, Box or Route No. City , ? a S 00141 oA ? z^ ? 14 ection o. Township Name or No. Range No. Count ??e 77t Occupant (PRINT) Phone No. Gv I G?? ? . _so? Power Supplier J (`? Address $~SO?s P F"',*R T Electrical Contractor (Company Name) Contractor's License No. Standard Electric Co. 40837 Mailing Address (Contractor or Owner Making lnstailation) 55109 Authoriz ign ture (Contractor/Ow aking Installation) _Phone Number ] 484-8044 EIV, MINNESOTA STATE BOARD Oi ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEP7ED BY THE STATE BOARD UNLESS PROPER LNSPECTION FEE IS 1821 Universitv Ave.. St. Paul, MN 55104 Phone (612) 642-0800 ENCLOSED. ? CITY OF EAGAN 3830 Pilot Knob Road EagA, Minnbsota 55122-1897 (651) 681-4675 SITE ADDRESS: Po I e N o 0 10--03800--050--08 DESCRIPTION: ? i " a? n "'M ????? ? _ ~?? ?EA ? ? ? ?? REMARKS: FEE SUMMARY: CONTRACTOR: -ADp 1 a. c a ri t- ST. LIG, OWNER: T1,JIiV C;I1'Y ROOF:CNG 16369640 20020943 L.ARSCIN DI„1.TC,NT '"1301 WOCI.DBRICIGE ST 3225 RflNt:7fJM Ra RCaSEV:LLL.E MN 55113 EAGAN MN 55122 (612) 636-9640 (651) 483_-5:144 APPLICANT/PERMITEE SIGNATURE PERMIT PERMIT TYPE: BUILDING Permit Number. 034146 Date Issued: ? 2/02/98 3225 RANL7Om fRO L o-ra 5 Bi_OcK e 8 AuraITORs SuBDIuIs1O?v #38 ??ROcaF rmi.t 1'ype 5'T'URM DAP9AGE pe REPAIR 434 flLT"< RES:cL7EiVTTRL C,b?, Ls=-o I w SUED BY: SIGNA URE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ?? 11-4 (,,r 3830 PII.OT KNOB RD - 55122 681-4675 9 New Construction Reauirements ? 3 registered site surveys ? 2 copies of plans (include beam & window s¢es; poured fid. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No D.ATE: lC RemodeVReoair Requitements ? 2 copies of plan ? 2 sfte surveys (exterior additions 8 decks) ? 1 energy calculations for heated additions ?? ? CONSTRUCTION COST; %/ ?? 0 DESCRIPTION OF WORK: v v ? STREET ADDRESS: I&W 32,9 .'-- 44-AAC-OX 40a-ea LOT: ? BLOCK: ? SUBD./P.I:D. #: Name:PGlJ ;!3 ? Phone #: Y73 ..'' PROPERTY Last Firff j- OWNER ?' Street Address: /?- r? • City ,??? ?f? State: Zip: Company: tiJP+N Phone #: CONTRACTOR 9 Street Address:????i?? o'?- License # d?b? p City Awt-'O." - - State: Zip: ::E' 5 ARCHITECT/ ENGINEER Company: Name: Phone #: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowtedge that I have read this application and state that the information is coRect and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 777 OFFICE USE ONLY Certiflcates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling 0 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex 0 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ?: t a ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace , ? 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Planning Building Engineering Variance Permit Fee Surcharge ' Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/VU Permit S/VN Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total e Valuation: $ % SAC SAC Units r 1986 BDILDING PEMffT lPPLICATION - CITY OF EAG9N NOTS: gLI. CONTRACTORS MQST BE LICENSED iTITH THE CITY OF EAGAN SINGLE FAMIILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS M[JLTIPLE DWELLINGS - RESIDENTIAL RENTAL D1+IITS FOR SALE IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONMRCIAI: INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, , $2,000 LANDSCAPE BOND To Be Used For: 1'4a6/°T/ok/-:?i?Luf. Valuation: zflkg? - F tit/t-? ME Site Address ?$ ?iq,VDr?iy ?o?D Lot S Block ? ? ? ? Parcel/Sub ?--? Owner ?GJ?4ffT ?'b • h??a? ? ? Address ,? /Sf}i?.DO.?I /?,osf D City/Zip Code E41*4AJ, ??. Phone Contractor SE/-F- Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # Date: /d /.5??? OFFICE IISE ONLY Erect Occupaney, Remodel Zoning Repair Type of Const Addition ? # of Stories Move Length Demolish Depth Int.Impre Sq Ft Install APPROVALS FEFS S? Assessments Permit ?j0. - Water/Sewer ? Surcharge 51 Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Couneil Road Unit Bldg Off Treatment P1 APC Parks Variance Copies TOTAL ? NOTE: ADDRESSES FOR CORNER LOTS - CONTRiCTOR/HOMEOWNEB MIIST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSIIED. 2?-x (s - -3Go x ?? 4-4- = 15840 3Co CO X Sb ? ZoB? .+? ._ _. t EAGAN TOWNSHIP 3795 Pilot Knob Ro«d St. Pau1, Minnesota 55111 Telephone 454-5242 PER14IT FOR WATER SERVICE CONNECTION Date: Anril 22,L 1971 Number: 582 „A ._. `?? Qsb 0`4 ._....... Billing Name:George 0. HaTxerberQ Site Address: 3225 Random Road. Eagan 55121 Owner: samp Billing Address SJqmQ Plumber;Schaaf Co. & McQuillan Plumbing Location of Connection I Meter Si Meter No.21294442 R.O. 1921 Meter Reading Connection Chg. 260.00 pd 4/22/71 Account Deposit 15.00 pd 4j22/71 Permit Fee 10.00 Dd 4/22/71 Meter Dep. Meter Sealed: Yes lAdd'1 Chg. NO 1 Total Chg. Building is a: Residence xx Multiple 1l0. Units Commercial Industrial Other Tnspected by Date Remarks: ? M" -•, ,?,ti"?? ?, a:_, .. .. ? . By: Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do tte proposed work in accordance with the rules and regulations of Eagan Tovmship, Dakota County, Minnesota. By: Schaaf Co. d McQuillan Plumbing Please notify the above office whea ready for inspection and connection. EAGliN TOWNSHIP 3795 Pilot Knob Road 5t. Paul, Minnesota 55111 Telephone 454•5242 FERMIT FOR SEWER SERVICE CONNECTiON DATE: ?x April 22, 1971 ?_ ._.._..__ OWNER: GeorQe 0. Haberberg NUMgER 743 /t? e'? ??? ?s-6 0 $, Address 3225 Random Road, Eagan 55121 PLUMBER S h?aaf Coa - McOuillan TYPE OF PIPE Cast Iron DESCRIPTION OF BUILD ING Industriall Commerciall Residential j Multiple Dwelling I No. of units Location of Connections: Connection Charge 200.00 pd 4/22/71 Account Deposit 15.00 pd 4/22j71 Permit Fee 10.00 pd 4/22/71 SCreet Repairs Tota 1 Inspected by: DaCe Remarks• $y Chief Inspector In consideration of the issue atnd delivery to me-of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, DalcoCa-County, Minnesota By D. Schaaf Co. & McQuillan Plumbing Please notifq when ready for_iaspection and connection and before any portion of the work is covered. ðüð ÿ þýý ðûüÿûü úýýðï ý þýüì ñ ñ þýö þýüûúùø ÷ ò ýûúù ûúùø ÷ öø÷õùô ùóý ò ý òñíýùú ð þïý î ôù ìô ëëô ïý ô ü ô ê é øøù ÿé é ô ý ùêòé é ùé ê ò üôè ïý üúø éôúëô ê îæñåæêê õú þý ë çýæñåæêäêä çýñÿê ôó öòñ ùù õø ø ëó äòýúõò ñõôõ õ ìãöñ ãö áàßà ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý øïø ÿú þý ýü þýý üÿüúú ùýýñúúû åäû ûãä ääå ÿ þýø ûúùø ðû ý õ ó ö á ì ðû ý õ ó Úû ý ýø í ñû í îû âý ü ý þ ýø üÝ åÜ ý åä âþ çååêäêää öù û îý çåê ê å õ ô øóò øøý ì îý îýùïý÷å÷ýí÷ øâáååþý ýâáåå Ý åÜ ääØå î ùýì îýîýã ýîýøøýýý îýî íý ýý íøùìîýýøøý ý â ý ýû ýóùþý ýï ý ê øøýë í ýû û ù ýû . � �tI For Office Use .,' ' * 0 (./Q tel 7/ *** I!0 :::ee %.,‘.... 00 ii AGAN : W I ... RECIEVED Date Received: & / el. 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 p` I (651)675-5675 TDD: (651)454-8535(FAX:(651)875-56� MAY 14 2 018I stat __�"''� .............. buildinoinsuections ct' citvofeaaa n.com 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 05/14/18 3225 Random Rd Site Add : unit Name: Dwight & Lynn Larson Phone: 651-454-8982 •� ress/City/Zi32 p: 25 Random Rd, Eagan, MN 55121 Add ..A Applicant is: Owner X Contractor Description of work: Bathroom Remodel See Drawing For More Details Construction:Cost: 6000 Multi-Family Building:(Yes /No X ) Comp ny: Address. Great Lakes Window & Siding contact: CityDerek 14590 Galaxie Ave Apple Valley , MN 55124 sz-891- �o derek. lwsco mail.com State: Zip. Phone: Email: g BC060427 NAT-23297-2 License#,' Lead Certificate#: If the project is exempt from leadcertification, please explain why: COMPLETE THIS AREA ONLY IF CONS TRUCTING A NEW BUILDING In the last 12 months,has the Cityof Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor:_ Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor. Phone: You may subscribe to receive an electronic notification from tl»City of p ordinan by signing up for an email update on the City's wets at www cityofeasran,ca ubscrlbe. Exterior work authorized by a.building;permit Issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Cali Gopher One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of and and utii .;w+w.rzo taleonecall_ora I hereby acknowledge that this information is complete and accurate;that the work will be in conformance ordinances aryl of the of Eagan;that I understand this Is not a permit but only an applicationfor a permit, and work is not to`start without a Parma; nit work will be In accordance with the approved plan in the'case of work which requires a review and approval of plans. x Derek Brouillet x Applicant's Printed:Name Applican mature DO NOT WRITE BELOW THIS LINE ,.S 2%D 74 ied , ,Q^ 7/ D— SUB TYPES Foundation Fireplace Porch (3-Season) _ Exterior Alteration(Single Family) it 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 _ Reroof 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 aar Occupancy 2 .A6 / MCES System Plan Review / Code Edition tpid SAC Units (25%_ 100% ) Zoning R..f City Water Census Code /1314 Stories Booster Pump #of Units I Square Feet PRV #of Buildings ILength — Fire Suppression Required Type of Construction ILA Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) ,4t Final/No C.O. Required Foundation Foundation Before Backfill , G HVAC_Gas Service Test Gas Line Air Test Roof:_Ice $.Water _Final Pool: Footings _Air/Gas Tests Final ,-- Framing v 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS se Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: ,Ala i , Building Inspector / r RESIDENTIAL FEES Base Fee 7 3 Surcharge Plan Review 4 7 2±.._ MCES SAC City SAC Utility Connection Charge SSW Permit& Surcharge Treatment Plant Copies /11 )7$= TOTAL Page 2 of 3 For Office Use ! , .4OZISO E AG AN Permit#: k ,tea �a Permit Fee: e6 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinciinspectionsacityofeacian.com L �y 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION r Date: •1.-I8 Site Address: 3ZZS `1dvJo'v. g- Tenant: G.arSon Suite#: LAy-So'L Name: Phone: Resident/Owner J //II �+ Address/City/Zip: 3 ZZ RaI✓1lJ�n� �4' C 4 n, )1•2/-1 1 Name: jot 4a v7(e /0/ W1 V►✓I License#: PC 7/a7/1 Contractor = Address: Oil ��t� 1 e��cc r• City: , r Scar State: W� Zip: Sy��l Phone: 7/5 5 Id l /44.1" Contact: JC AhGL Email: A. / ` e ."L C GC r i o Type of Work —New Replacement _Repair _Rebuild Modify Space _Work in R.O.W. LC Description of work: up I4rri"n3 T-41 ( 4-Vett- J ITS/g RESIDENTIAL Water Heater Water Softener Lawn Irrigation(_RPZ/_PVB) Permit Type Septic System Add Plumbing Fixtures( Main/_Lower Level) ( _New I Water Turnaround Abandonment 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 System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 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.00pherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance w'th the ordinances and codes of the City of Eagan; that I understand this is nota permit, but only an application for a permit, and work is n t to s 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 plan . x 10-(_ 1)R fif G� x Applicant's Printe Name Applic s S'. ature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground' Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: