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1381 Berry Ridge Rd Unit 503RESIDENT OWNER Name: PANS X. e—cl't N-;,4 Phone: 103— Z G1! W1/46 Address City Zip: CONTRACTOR Name: 0. y eikcak C'C1 tNII' �S License vS3 (�1 Li Address: I .c.' C Vv\ .S 0040 City: u AN 0114 State: U' AA( Zip: j 1J d Phone: S 1"2.1.0 ©ef \S Contact Person: CIA—RAS NiT TYPE OF WORK New )G Replacement Additional Alteration Demolition Description of work: r 6cc- (z.tv faui( vvnEIX NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL X Furnace COMMERCIAL New Construction Interior Improvement Install Piping Processed Conditioner Gas Exterior HVAC Unit _Air Exchanger HVAC units must be screened Under Above ground Tank Install Remove) _Air Heat Pump Other When installing /removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add -on or alteration to an existing unit (includes $.50 State Surcharge) out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEE $90.50 Fire repair (replace burned COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation /removal OR State Surcharge) surcharge is $.50. increases by $.50 for each $2,000 Permit Fee requires a $1.00 surcharge). Contract Value x 1% Permit Fee If Permit Fee is Tess than $1,000, State Surcharge If Permit Fee is $1,000, surcharge $1,000 Permit Fee (Le. a $1,001 TOTAL FEE Date: Tenant: City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2008 MECHANICAL PERMIT APPLICATION ‘ci2A Site Address: •c tU' r For Office LMe Permit (7/LJ /4 Permit Fee:�� 1 Date Received: C:' Staff: Suite 603 Q I hereby acknowledge that this information is complete and accurate; that the work will be in conformance w I understand this is not a permit, but only an application for a permit, and work is not to start without perry/it; that the work will ben accordance with the approved plan in the case of work which requires a review and approval of plans. x t/TZ IS C e-16"11 Applicants Printed Name x Ap the ordinance gnature and codes of the City of Eagan; that Required Inspections: Under Ground Rough In 'Air Test GasilService °Test In floor Heat Final