4795 Eriks Blvd - Site Surveyt-eruricax:e or tiouse i,ocation r'or:
Judy & Norm Mundahl
48.24 Erick's Eau2evard
Eagara, M 55123
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DELMAR H. SCHWANZ
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I4M 8pt1TH R09ERT 1Mt1 AOSEMOUN7yMINNE307A 6506! O12/173-1769
H99219
SURVEYOR'S CERTIFICATE
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Certificate of House Location For:
Judy & Notm Mimdahl
4824 Erick's Soulevard
Eagan, M 55123
H99219
DELMAR H. SCHWANZ
urro aunv[rons, INc.
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14760 SOUTH R08ERT TRAIL ROSEMOUNT. MINNESOTA 55060 eIz4:3-17e9
SURYEYOR'S CEfiTIFICATE
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I heraby csrlily t1+tl Ihls survsy. Dion. or rporl was
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thU 1sm a duly RaQlslorod land Surwyor undn
the lews 01 tM S1Ne of IAlnnsson.
o.t.a 12-27-98
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DeImer H. Schwena .
MMnwoto IlplnrNim No. L62S
CITY USE ONLY
L BL RECEIPT#:
SU61D. RECEIPT DATE:
APPROVED BY:
1998 M£CfiANICAL f'ERMIT (COMM£(tClAL)
CITY OF £A6AN
S$SO PILOT KNO$ RD
EAfiAN, MN 55122
(61E) 6$1-4675
Please complete for: ail commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TI'PE: NEW CvNSTRUCTIaN INTERIdR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
($.50 per $1,000 of cermit fee due on al] pertnits.)
OWNER NAME:
PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS: PHONE #:
CITY:
STATE:
ZIP:
SIGNATURE OF PERMITTEE