4709 Thrush Pt
-7~ ~ o ~ 15. 5a
2006 RESIDENTIAL PLUMBING PERMIT APPLICATlON Ch 2~
CITY OF EAGAN
383U PILOT KNOB ROAD, EAGAN MN 55122 '
659-675-5675
Please complete for modifications to existing residential dwellings.
Date ~ I l ~ 7// T c~
SiteStreetAddress ' T'7~~ /~l°'GlSh I 0%/Lt Unit#
Property Owner ~?0 r Telephone b' U P~
~ .
Contractor 651-365-~3~~0
,~,~z~~e~~ ~r~ #100 Telepfione # ( ~
Address ~gn. MN 55123-1339 CIty State Zip
The Applicant is: _ Owner Jl Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes Counfy fee
$ 100.00
Pefas-built $ 1i).tl0
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are insta/ling on/y a wafer sofrener and/or water .
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
~ Water Turnaround (add $130.00 if a 518" meter is required)
Other:
Water Softener ~ Water Heater $ 15.00
_ new ~ replacemen!
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
fot~i ~ 15-50
I hereby apply for a Residentiai Plumbing Permit and acknowledge that the information is complete and accurate; that the
work wiil be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
~D~.rt-~D/o ~ ~ ~
ApplicanYs Printed Name ~ ApplicanYs Signature ~
AU~ 2 1 200
By .
C N WA �1C PEA' � ';
A i
Y t Knob Road t ' PERMlt . No.:
i i i4460 ' IN MR 51122 DATE:
Zoning: .- ' No. of Units: x t-
,QWner: ,
k ..
ll :
Site Address:
Plumber:
Meter No.: Connection Charge: > . "
Size: Account Deposit: x
Reader No.: Pern?tt Fee: ""
1 agree to comply with the City of Eagan Surcharge: . '' (1.
Ordinances. Misc. Charges: .:) 3, n ' r ^: .....:1-r
Total:
By Date Paid:
t Date of Insp.: t '' 0 41 lnsp.:
c .O>F AN , . ER ` SERV�CE PERMIT
.
49r ,----- ,
8 . Knob non*. , e4 P ERMIT NO.: 1' / 30 / 1
Eagan, MN 55122 DA'PE:
Zdn$ng: 1 qv No. of Units: 11 titilt tnhse
Owner: Orrin Thompson Hones _
Address:
Site Address: 4709 ThruRh .Poift L2 B13 Ri.d ecliftre V
Plumber: Germ Ryan
10/19/31 27344 100.00 pd
agree to comply with the, City of Eagan Connection Charge:. 425400 pd
Oedisoetes. Account Deposit:
Permit Fee: 10.00 pd
Surcharge: .50 pd
By f , - Mist. Charges:
Date of I rn ya.. ' ' 2 Total:
insp.:_, / b V Date Paid: