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3653 Windtree Ct- PL91730RESIDENT OWNER Name: Lc't- W cd S Phone:(b-S 2 /5 S/ O 3 Address City Zip: 39 L/4- 1' M it) CONTRACTOR Name: 1 (4 ef 1 L K C._ License Address: 011-1/ AV S 3 City: A)' ?Ifni i State: gf' Zip: 37,0 -7 Phone: x' 9- 7 51 I Contact Person: 4` t ie 7 L 2-- TYPE OF WORK New Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work: 7 .e ,P to C...Q it 4 e o c: X -cA 1 eS j■-0C-CareDys. PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation x Add Plumbing Fixtures RPZ PVB) Main Lower Level) i Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $165.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date. 1%ii i °CCP Site Address: 310. s v d r e Cam' Tenant: kiIrfo Suite I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wit Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to sta accordance with the approved plan in the case of work which requires a review and approval Ian x griit e-vi Vi% z Applicant's Printed Name FOR OFFICE USE Required Inspections: x App ica is Sig Permit Permit Fee: Date Received: Staff: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq the Reviewed By: Date: Under Ground _Rough -In _Air Test _Gasr Test Final: ut Use BLUE or BLACK Ink 1 J rdinances and codes of the City of permit; that the work will be in