547 Red Pine Laner - - - - - - - - - - - - - i
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? Permit #: I
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? Permit Fee: ?
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? Date Received: ?
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? Staff: ?
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2009 SEWER
4?-
AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING RESIDENTIAL PROPERTY
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Address: 5ti-7 94 i?the 4 ^1 r ?kflt/7-6(, ()FFICE USE ONLY
Property Owner: SkzllS? ? A ,
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# PRV required
one
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ep :
Plumber:
City. A/c.: County R-0-W Permit
Date of Inquiry: oq
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Contact Name: ?l'?!d
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SEWER WATER
er Service ter Service
Sewe teral charge ? Wate teral charge ?
Sewer tru ` ater trun
City SAC $ 100.00 ater supply st e $ 1,150.00
MCES SAC $ 2,000.00 Receipt #: , D
Receipt #: , Date. reatment Plant $ 735.00
Septic abando ent $ 50.00 ermit Fee
l $ 50.00
Permit Fee $ 50.00 tate Sur rge 0.50
State charge 50 lumb Permit Required - water meter to be
ired wit h building permit ,
a
TOTAL: TOTAL:
SEWER & WATER
Sewer Service -d-
Water Service ? d --
Sewer lateral charge @ $28.30/ff - p -
Water lateral charge @ $28.60/ff - p -
Sewer trunk @ $1,150/connection - o -
Water trunk @ $1,200/connection -o -
City SAC $ 100.00 '
MCES SAC $ 2,000.00 -
Receipt # , Date
Water supply & storage $ 1,150.00'
Receipt # , Date
Treatment plant $ 735.00'
Septic abandonment $ 50.00 -
Permit Fee $ 100.00'
State Surcharge $ 0.50 ?
"Plumbing Permit Required - water meter to be
acquired with building permit ^p
TOTAL
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To: Attention: 6-(J t?L5(?___1
Fax #:
Company: '
From: av7'VA-e-?
Date: ?-
Time:
# of Pages to Follow:
Subject:
Comments:
Transmitted as indicated below:
For Approval High Priority
As Requested For Review & Comments
For Publication For Your Information
FAX #: Community Development (651) 675-5694
Engineering Department
Telephone #: Municipal Center (651) 675-5000
TTY-For Hearing Impaired (651) 454-8535
Originals Not Forwarded
Originals Mailed
Note to Facsimile Operator:
Please deliver this fax transmission to the above addressee. If you do not receive all of the pages in good condition,
please contact us. Thank you.
THE-LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
- Clt 0f Eqin
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax; (651) 675-5694
r _ _ - _ - _ _ _ _ - _
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I For Office Use ?
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I Permit #: I
I Permit Fee: ?
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? Date Received: I
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? Staff:
L -----------------I
2008 SIEWER AND 11VAT'ER CONNECTION AND AVAILABiLITY CHARGIES
EXISTING RESIDENTIAL PROPERTY
Address: OFFICE USE OPlLY
PropertyOwner: ?,/
Telephone #: ?IQS PRV required
Plumber:
--?3? City ? County R-O-W Permit
050
Date of Inquiry: b T?.
ContactName?? `-"S' 'Sjj-qj3L
SEWER WATER
4" er Service $691.00 / 1 ater Service
Sewer la I charge @$28.30/ ff Water teral charge @$28.60 / ff
"
Sewer trunk @ 1501 connection
?/ ction
ne
Water, trun $1,200 / co
150.00
e $1
l
City SAC $100.00 I
,
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p
Water sups ag
MCES SAC $1,825.00 Receipt #: te:
Treatment Plant $690.00 -
Receipt #: , Qa e:
Septic abandonm nf'
F
i $50.00
0.00 Permit Fee / $50.00
State Surchaxge $0.50
ee
Perm
t $p 'Plumbing P.efm'it Required - watermeter to be
StOte SUY arge . acquire?ith building permit
]
? TOTAL
TOTAL:
SEWER & WATER
4" Sewer Service -$69t.W "v"
1" Water Service.
Sewer lateral charge @ $28.30/ff -„ -
Water lateral charge @ $28.601ff - -o -
Sewer trunk @ $1,150/connection -v- .
Water trunk @ $1,200/connection -v - ?r
City SAC $100.00 ' `
MCES SAC $1,825.00 -
Receipt # , Date
Water supply 8? storage $1,150.00-
Receipt # , Date
Treatment plant $690.00 - .
Septic abandonment $50.00
Permit Fee $100.00
State Surcharge $0.50
'Plumbing Permif Required - wafer mefer to be
acquired wifh building permif
TOTAL: r
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? Permit #: i
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? Permit Fee: ?
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? Date Received: ?
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? Staff: ?
L -----------------
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: 517 fiGd
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Tenant: ? /(A Suite #:
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contact Person:
TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RES/DENT/AL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
(_ RPZ /_ PVB) (___ Main _ Lower Level)
Septic System ?Water Turnaround
New
Abandonment
RES/DENTIAL 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 Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $147.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ducfinrork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ 0
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start 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 plans.
x x
ApplicanYs Printed Name ApplicanYs Signature