Loading...
1811 Walnut Lane - ME 915254 11/1. City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2009 MECHANICAL PERMIT APPLICATION Date: t (__0 1 Site Address: 4.. Tenant: t t 1 RESIDENT OWNER CONTRACTOR TYPE OF WORK PERMIT TYPE Name: P n Phone: Address City Zip: a t t CAS t r --i11. f Cal (rict n JS La License #A LL 05'1 q 8 Dan Wohlers Southside Htg. A/C 6950 W. 146 St., #106 Apple Valley, MN 55124 (952) 431 -7099 State: t Person: c.) if New 1 Replacement p 1 L LL Descri tion at work: �C:irC'�,�.; 1 -.L.t C' r 11 t. RESIDENTIAL w Air Conditioner Air Exchanger Heat Pump Other 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 SO TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation /removal OR $50.50 Minimum (includes State Surcharge) if Permit Fee is Tess than $1,000, surcharge is $.50. If Permit Fee is $1,000, surcharge increases by $.50 for each $1,000 Permit Fee (Le. a $1,001 $2,000 Permit Fee requires a $1.00 surcharge). x Chad CahWex Applicant's Printed Name Additional Contract Value Applicant's Signature Permit I Permit Fee: Date Received: Staff: Alteration Suite Zip: Demolition 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 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 plan's. equired Inspections:... Under Ground Rough.. In Air Test Extertor:HVAC Screen FOR OFFICE