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629 Sally Cir CITY OF EAGAN Remarks Addition 3EIMARK ADDITION ~ot ~ a~k 2 Parcel 10 fi7100 O1F0 02 Owner~adif~~f~~~'~ ~ A'~~~'"~ ~Street 629 Sally Circle State ~'g~~ ~ 55122 J,rj~I': 't.'%ca~ Improvement Date Amount Annual Vears Payment Receipt Date STREET SURF. STREE7 RESTOR. GRADING SANSEWTRUNK 1970 53•~~ 2.12 Zrj Paid 'K' SEWER LATERAL 197~'j 1'~~Q~~~ ll~j.y'33 l~j Paid WATERMAIN WATER LATERAL i973 ~.rj' WATER AREA STORM SEW TRK 1 84 412.00 27.4] 15 STORM SEW LAT CURB & GUTTER SIOEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC 2 O.OO O -10- 2 PARK ~ ~ ScJ 7 PLUMBING (RESIDENTIAL) Permit Application ~ ~ ~ City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permiu aze required for each unit Date ~ / ~ / O ~ Site Address ~ L-- I ~IJ~Mi y l~1' ~~I ~ Unit # Praperty Owner I UV I Jl1e~' ~ Telephone #((,Q~z) Zo~ 2 Contractor ~~~~J tX.i' ~I~Y~JI ~ _ Address l I 2- ~ ~"l ~ l Y.XX ` ~ ~ ~ ~ City L~" ~ ~ State ~VW V Zip~~c]~CJ Telephone # cqs~ 3~Q I~ B2 i 2 SI The Applicant is _ Owner Contractor _ Other Septic System NeW _ Refurbished Submit 2 sefs of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.D0 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water tumaround 5/8" meter'rf needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener ~ Water heater $ 15.00 repiacement _ addiUOnal . _ - , ~T ~ ° ~ ~ ~ i ~ ~ , ~_i . ' 'I II State Surcharge ~~I ~ ~ ~ I~ ~ ~ I+i $ .50 1 Total ~ $ ~ ~O LY__-= - I hereby apply for a Residential PlumUing Permit and aclrnowledge that the information is complete and accurate; that the work will be in confom~ance with the ordinances and codes of the Ciry of Eagan and with the Plumhing Codes; that I understand this is not a pertnit, 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 wluch requires a review and approval of lans. ~V~I ~ ~ ~lll 1 l(~l-U~'i' Applic t's Printed Name Applic Ys Signature i.~-) MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Kno6 Road, Eagan Mn 55122 ~.30 ~ 'S~'"~ Telephone # 651-675-5675 FAX # 651-675-5694 Please wmplete for: Single Family Dwellings Townhomes and Condos when perntits are required for each unit Date~/y~/ Site Address~~~q ~ ~ ~ U Unit # Property Owner ~~a-L ~ Telephone #((p C, -a~7c~ Contractor Wohlers Southside Htg. & Air, Inc. 6950 W. 146~' St., #106 Street Address Apple Valley, MN 55124 (952) 431-7099 State Telephone # ( ) The Applicant is _ Owner ~ Contractor _ Other Add-on, moditication or alteration to e~sting dwelling unit $ 30.00 furnace replacement air exchanger air conditioner other State Surcharge 1 ~1 ~i r' ~ ~ ~ ~ ~ .50 ~i~;~, Jl,h 0?~'~~ ~~II Tocat S ~ -$;~7~~ IBy - J I hereby apply for a Residential Mechanical Permit and aclaiowledge that the information is complete and accurate; that the work will be in conformance witb the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an applicarion for a permit, and work is not to start without a permit; that the work will be in accordance with the approved ptan in the case of work wlucb requires a review and approval ofplans. ~r-, ~~r,1ex-~ ~c~~,._..o ~ i,c..~~~ Applicant's Printed Name ApplicanYs Signature MECHADTICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: commercial/industrial buildings multi-family buildings when separate permits aze not mquired for each dwelling unit Date / / Site Address Unit # Tenant Name (iF applicable) Previous Tenant Name Property Owner Telephone # ( } Contractor Street Address C~t3' State Zip Telephone lt ( ) The Applicant is _ Owner _ Contractor _ Other Work Type Newconstruction UndergroundTank _Install _Remove Interior Improvement Call for inspection during installationJremoval of tank Processed Piping Nature of Work: Permit Fee 550.50 nimum Fee (includes S[a[e Surchar¢e) ContractValue $ z 1% ° $ PemutFee • If perxni.t fee is $1,000 or tess, add $.50 ~ $ State Surcharge If pernrit fee is over $1,000, add $.50 per $1,000 Permit Fee $ Total Fee I hereby apply for a Commercial Mechanical Pemrit and aclmowledge that the informauon is wmplete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with ihe Mechanical Godes; that I understand this is not a pemut, 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 app[oved plan in the case of work which requires a review and approval of plans. ApplicanPs Printed Name ApplicanPs Signature Approved By: , Inspector Date: • EAGAN TOWNSHIP ~ BUILDING PERMIT 2671 Ownex . Eagan Towaship Address (Precen!) .......~.~r...-=.-:~~~ Town Hall ~ Buildar ................~?~.-°:-°`A~-........._.......----'---........................ SL~i o~> x_ Date Addreas DESCRIPTION Btoriea To Be Used For Fron! Deplh Helgh! Eei. Coe! ~armi! Fea Remaslu / o~.e~.~-~ ~ e2G / 9~ 6-s-n /o o . o-o /o ~ ~Q.c~e_ ~w--P` ~...^u.E. ~}c~y _ 3d 6 y.,S-u s/v .30/ .d~c-C s LOCATION 3lree2. Road or olhas Description of Lo~ation I Lo! I Slock Addilion or Trea! G a q .~y~ C~.~,c~. y~ ~ ~-~-R-~-~~ This permi! does ao! au3horise !he use oi sireels, roads, alleys or sidewalka nor does i! give fhe owaer or hfs agea! fhe xight !o ereaie anp sifuafion which is a auisanee or which presenls a heaard to !he heallh, safelp. convenieaee and general welfare lo anyone in ihe oommunity. THIS PERMIT MUST SE K T ON THE PREMISE WHILE THE WORK IS IN PROGRESS. Thia is !o eerlifp, t6ai . . _.~:--_....-.----......_...has permission !o esec! a..... . _ - ~-p ..._upoa ~ y~"•"""' !he ebove desaribed premise subjee !o !he provisions of fhe 8uilding Ordiaance for Eagan ownship~adopted Apsil 11, 1955. p ..............................(L.t~:!^t...----.....~.L..°.~~::..'.-....... Per ......._...................._!U:.`.~"Cti......Q••F~•`.:-':-'--~:~.:..........._..... Chairmaa of Tnwn Board ~ Suildinp Inspeclor Li i D ~~/6 ~ o~6 na- „ ~ . ~ s~~l .~~i,~ TOWN OF EAGAAI 3795 Pilot Ynob goad . Eagan, P4lnnesota 55121 ~ PERMIT N0. 2~ The Board of Su ervisore hereb ~ P y grants to Welter Aeating Campaqp of 4637 Chioeso averme, 14p1e• 5S4o7 8_Ii$?TINU Permit for; (pwner) 381~y Comysr~ at 629 S11~p Cirols , pursuant to application dated 5/17/72 Fee Paid: 0.00 Dated thia ~~day of ~ , 197 ? . a Suilding Inspeceor - .:~:~r.~c.c/C T041N OF EAGAN ~795 Pi1oY Knob Road ;:agan, Minnesota 55122 PERMIT N0. '88 The Board of Supervisors hereby grants to Th~npson Plumbing Co. og 12201 I~Li.nnetonka Fslnd:y rQinnetaztisaj, A1N jj~361 e y"tr''~~~G Permit for: (Owner) Sally Comp. ~:s3n an ad 62 ' 626, 621~~ 622~ at _ and 29 ^aa]_ly CireZ~ , pursuant to application dated 3/z5rrz Fee Paid: ~~~20•a~ Dated this ~9th day of Ntareh , 197~ Building Inspector ~ ~ ~ • MASTER CARD ~o~AT~oN o 9 y- s ' ~~,1~l~ . s' OWNER , STRUCTURE AND y IAND USED AS ~ p ~ Issued To Permif No. Issued Coniractor Owner BUILDING y.~ . 7~ PLUMBING ~ CESSPOOL - SER7.~C TANK ' WELL ELECTRICAL HEATING ~ GAS INSTALLING SANITARY SEWER 9[ 7 OTHER ~ ~c~ OTHER ~ Approved . Items (InitialJ Date Remarks Distance From Well FOOTING . ~ SEPTIC FOUNDATION ~ i CESSPOOL FRAMING r TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING ~ / • ~ OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING ~J ~ WELL _ / ~ SANITARY SEWER ~ ~ y ~ v • f_~~ • ~ Violations Noted on Back COMMENTS: CUMPLIANCE INSPECTION REPORTS 70 BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS • PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPIY. ~ ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WIIL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZFD AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION ~ REINSPECTION REVEALED q CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that 1 have reported herein ail significant conditions observed to 6e at variance with ordinances of the Town af Eagan, apprwed plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABIY COMPLETED BUILDING INSPECTOR DATE COMMENTS: ~ 3 ~ ~ ~3 ~ ~ .~a OTA•V MINNESOTA VALLEV ~~S~TA'Vq ~ ~a~~.l'.=~~CF, ~ SURVEVORS & ENGINEERS CORP. ~ ~ ~t^,~ ~F: Y ' ~N N N , G'" W ~ 1]IMOF~IITMAVFMY[SOVfM EVRNSVIL~E,MINNESOi1 SSIM q~ CI PL p ) ~ r~«.: ~ronw ~Fy~ ~ ~2 Fy~~ ENG . RS~E Certificate of Survey to~: ~E/1~ APPE~LBAC/M I ~ ~ ~ ; ~~s.o0 ~ ~Q ~ ~ 9~ Drainage ~ Ut'ility Easement ~ r ~ D ~ io U o ~ ~ ~ ~o ~ ~ o , ' 3a.s ~ ; - o ~ ~ ~ ~ ° ea 3s.o o~. p ~ 98.6~ \ ry P(oPo ~5e n V N o~. ~ ~ v, g. - N: a > o ~ s _~I 0 9.:03 - _SACLY _CLR.CLE LOT 4., BLOCK 2, SELMARK , : 40' oDenotes 'iron monumeni- . _ ~ I here6yaerti/y ~hq1 ~his is o Hua and ternaf~repr~senlaflon Mtnnesota V8~~0y S~urveyors En ineers, Corm'~~:~x- o( u servey ei rhe boendn~iat ef 1M abora ~da~vibad Iand~ ' Y ~ g~~ ~ R L S ond al the lemlion ol oll buildinge~lhereon~ and all vi~ible .b enareoahm~nr~~ i} any~ from or o~ ~~o;a ~a~a. 9293 a+.~...yea by me ~ti~+24 aoy er /Lto.t/~ A.D. 19L7 Mfnn. Reg. No. EAGAN TOWNSHIP BUILDING PERMIT 2760 Ownex --f?Y"~/-/.'_-.--. Eagaa Township Address (Pr ~ eni) ._..~J.~.~.._~~~..~f~....(Ol.e Town Hall / Builder ............._..rJ..GfL~-~.--------------------...._........_ ~ na:e~GGx.~...s~~y~._/~~..~Zl Addrass DESCRIPTION Stories To Be Used For Fzoni Dep1h Heigh! Esl. CosS Permif Fee Aemaska / ~-y z ~ ~roo' ~ ~ .5,~.~0.~ ~~`s~ LOCATION Slxeef, Raad or ofhes Descriplion of LoeaYian I Lo! Blaek Addilion or Trae! y ~ Thia permi! does o! aulhorise !he use of siseets, roads, alleys or sidewalka nor does i! give !he owaer or hie agen! ffie righ! !o cseale anp ailuatfon whlch is a euisance os which presents a hazard !o !he heallh, safeip, eonvenieace end ganeral wel4are !o anpone in iha eommuni2p. THIS PERMIT MUST BF,.~( EPT ON EMISE WHILE THE WORK IS IN PROGgLESB. Thfs is to eerfifp. lhat.+/~ /.G?~.~0'.aC.... -------------_----.has permission !o esee! a....~aL! ..~~.........p p_upon !he above desaribed prefhise subjec! !o ihe provisions of !he Build' dinanee tor Eqg~ n ownshi ado !ed A sil 11, 1955/.qA! ~~//j/J,~ ~ ,y~/~//1 / ....---(.[!['Y-.cf-(i1dl..~._...l1l~ Per ° -'-Yl._.-L._.... _ Chairman of Tnwn Board Building Inspeetor 9v w 0 d ~ ~ .~a . ~ v\ ~ ~ - w p ~ '1 ~ • at 10 `9 • d ~ W ~ , < sr~ G,.,~ ~'S i ~ ~ 6 ~ ~ ~ v-. \o v - b~ ~ ~ . EAGlaN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE COIdNECTIOId DATtio March 29, 1972 N[R~ffiER 967 OWNER: Sally Corp. Address 629 Sally Circle y~} ~~/r'~c~r PLUMBER ~~Pson Plumbing Co. TypE OF PIPE Heavy Cast Iron DESCRIPTZON OF BUIID ING Industrial Commercial Residential Multiple Dwelling No. of units ~ Location of Connectfona: Conaection Charge21~0.00 pd !~/10/72 Permit Fee 10.00 d 3 29 72 ~opd32972 s c Street Repairs Total Inspected by: Date Remarks• By Chief Inspector Ia consideratioa of the issue aad delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules aad regulationa of Eagan To~~nship, Dalcota County, Minneaota Sy Thompson Plumbin~ Co. Please notify whea readq for inspection and connection and before any portion of the work is cavered. • EAGAN 10WNSHIP 3795 Pilot Knob Road St. Paul~ Minneaota 55111 Telephone 454-5242 PERNII T FOR WATER SL+RVICE CONNSCTION Date: March 29, 1972 Number: 803 ~~/m~~ Billing Name: Sally Corp. Site Address: 629 Sal~y Circle Owner: S~e Billing Addreas Pl~ber• Thompson Plumbing Co. Location of Connection Meter Size-~~- Connectlon Chg. .0 !~/10/72 Meter Noa?1~~ Permit Fee 10.00 pd 3/29/72 pc ~2 Meter ReadingL_ MeYer Dep. Meter Sealed: Yea Add'1 Chg,60.00 water mtr. 3/29/72 NO Total Chg. Inspected by Date Building is a; Remarka; Residence ~ t4ultiple- Ao. Units Commercial - , ~ ' ~I~u~.~~'.~~ L1._. t.:Jl~\..LL~ I'.:_1~.~~~~ IadusCrial By; Other Chief Iaspector Ia conaideration of ehe isaue and delivery to me of the above permit, I hereby agree to do tt~e proposed work in accordance with the rules and regulations of 8agaa Township, Dakota County i aota. Thompson Plumbing Co. Please cwtify the above office when ready for inepection and connection. ~ aa:~9~a Gentlemen: Enclosed is a check for $1~700.00 for assessments on I.ut 4, Block 2, Selmark. This is Kenneth & Sally L. . Appelbaum's property. Thank you UNITfiD FEDERAL SAVINGS & IL1AN A35°n , 224-228 North Concord Stxeet South St. Paul~ Minn. 55075 ooTSinE wot~c o~aaR ~ FRO.I:~~~i t.~ Q of i Chicago Title Insurance Company 60 East 4th Street St. Paul, Minnesota 55101 - i Telephone: (612) 227-7226 TO• D:~, F~ : - - . M I RE: FiLE N0. RO~3d LeqaT Descriptions~rld '`~~C1~~ ~ I ZeBB i ~ ~ 0~ Please Search the records of: I ( ) County ~~i . ( ) City o ~ and furnish the, o owing in ozmatioa in connection with tke above: (NOTE: Furnish only that informatioa indicated by "X") t•take new abstract covering abcve legal descriptioa Make new RPC covering above legal description ~ Continue abstract coverinq above legal dencription (Absfsaet encloied) ( ) Make no searches I I ( ) Delinquent Tax ~ O Taxes for the year 19 ' Total Amount Homestead ' Hase Tax Non-Homes ea ' Not Paid District First Ha Pai Plat Paid in Full Parce in ~~inn nan m The unpaid amount of levied assessments, includinq any interesk due. (~The amount or approximate amount of pending assessments for local improvements. none ( ) iJater Tax Easenents as shown on the recorded plat. Federal Tax Liens ( ) Judgments ( ) Bankruptcies ( ) on the following: ~ i Such search discloses the following: Federal Tax Liena ~udgments Bankruptcies - is enclosed. ' ( c.YCheck for S ~S O~') Send statement to p~Y lf there is a charge for the above requested information. NOTE: If more room is r.ceded than provide8 on fosm, ugeS~E e~~RSE.t~ this form and indicate that reverse is vsed. i hereby state that the ab ve is, to my knowledge, a true and correct statement. ~ nATE - IIY~, A ~ CTI T-111 (6-72) ~ :fU1~iX YOU. I 5'1 ~~b ~ ~s- s~ PLIJMBTNG (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when pemuzs aze required for each unit Date ~ / C~ / Site Address l GY~`'l ~A'~.~ l,~ Unit # Property Owner ~A L~ ) 1~~~ Telephone #(~p'7 I)~~ ~l C~ - Sb 0~I Contractor ~7T . ~ ?`1~ P~~ ~l-k~~ Address S~ ~ 1~ , l~I City ~Lll~( y~~~~ State Zip Telephone # (~~J~) 4 `~I~~/,'~ The Applicant is _ Owner Contractor Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alteradons To Ezisting Dwelling Unit, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround 5/8" meter if needed -$121.00) Other: RPZ _ new installation _ repair _ re6uild - M~ $ 30.00 _ Lawn irrigation system (a ~ ~ „'~1 ~ 1 q _ 1 J ~1'` _ FE~ ~ ~ Water softener Water heater $ 15.00 '~/1 replacement _ additional T QV f` State Surcharge $ .50 Total $ __1C~ ~ I hereby apply for a Residenrisl Plumbing Permit and acloiowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand ttus is not a pemut, but only an applicarion for a pernvt, 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. ~tm S(~.h~1~t~ ~ ~ ~r~ , l~~ i~ Applicant's Printed Name Ap~hcant's Signature îú þ ý þýý üû û ú ùýýî ù ðü ô ßð ÿ þý÷ üûúùø ñôûùø ÷ôùø ÷öõôó öõò ø û ñ ûñ ððìûø ù ï üîû ô í øôë ô îûô ô ú ô êé ôööø ý éôéô ý ø êñ éôé ø é ô ê ñ ôú è ô ô ô îûô úù ö é ù ê í æääêäêðä öù üûô ô æê ê ç û ýê õô ÷óò øø ò ö ô ã âô ñûùò ñ÷ ß ü ùñô ò ë þ ãó ÝßÜßðð ô úù ö ë ô øø éô ôô ô øùö øø ú ü éã ü û ñùéþ ìô ê øø õ ô ü ûô û ùü ûô PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129489 Date Issued:02/17/2015 Permit Category:ePermit Site Address: 629 Sally Cir Lot:4 Block: 2 Addition: Selmark PID:10-67100-02-040 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: Troy Good 3670 Dodd Rd Eagan, MN 55123 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 - Michael A Jorgenson 629 Sally Cir Eagan MN 55121 (612) 802-2228 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129489 Date Issued:02/17/2015 Permit Category:ePermit Site Address: 629 Sally Cir Lot:4 Block: 2 Addition: Selmark PID:10-67100-02-040 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: Troy Good 3670 Dodd Rd Eagan, MN 55123 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 - Michael A Jorgenson 629 Sally Cir Eagan MN 55121 (612) 802-2228 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174920 Date Issued:03/01/2022 Permit Category:ePermit Site Address: 629 Sally Cir Lot:4 Block: 2 Addition: Selmark PID:10-67100-02-040 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Michael A Jorgenson 629 Sally Cir Eagan MN 55121--230 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature