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1792 Covington LaneCityofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 RESIDENT OWNER CONTRACTOR TYPE OF WORK PERMIT TYPE Applicant's Printed Name x ehc d L3o S Name: L-i 2— er r Dan Wohlers Southside Htg. A/C 6950 W. 146 St., #106 Apple Valley, MN 55124 (952) 431 -7099 .,..,,..,.:t Person: iption of work: \=pr aC f RESIDENTIAL ✓Furnace Air Conditioner Air Exchanger Heat Pump Other d and g rowl e. PIeass c.. ,rmatiorr (1 (L.' L. Applicant's Signature or a'r'c 2009 MECHANICAL PERMIT APPLICATION Date: t --F" Site Address: 1 I CCU, )1(v Lxl Tenant: Permit Permit Fee: Date Received: Staff: Suite PTTo e C get Address City Zip: t C_C l l 1 --1 1 License State: New c.-'11 Additional Alteration COMMERCIAL FEES: $70.50 Underground tank installation /removal OR Contract Value $50.50 Minimum (includes State Surcharge) If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is $1,000, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $1,001 $2,000 Permit Fee requires a $1.00 surcharge). Zip: Demolition F neLC `°)1 4 COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under Above ground Tank Install Remove) 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) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) •5©4 So TOTAL FEE x 1% Permit Fee State Surcharge TOTAL FEE 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. Revie tde nd Rpu In Air st '..Gas cree nrng Irtspe FOR OFFICEVSE PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129754 Date Issued:03/11/2015 Permit Category:ePermit Site Address: 1792 Covington Lane Lot:4 Block: 14 Addition: Ridgecliffe 5th PID:10-63984-14-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Applicant: Dean Kamrath 13791 Jonquil Ln N Dayton, MN 55327 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jennifer D Butler 1792 Covington Lane Eagan MN 55122--261 Adam's On Time Plumbing & Water Heaters Llc 13791 Jonquil Lane N Dayton MN 55327 (612) 205-6060 Applicant/Permitee: Signature Issued By: Signature