1522 Violet LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1522 Violet Lane
Lot: 27 Block: 1 Addition: Pearlmont Heights
PID:10- 56950- 270 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Meter Size Meter Type
Comments: Paula Worm 12201 M
Fee Summary:
Contractor:
Water Treatment Inc
12201 Minnetonka Blvd
Minnetonka MN 55305
(952) 938 -1880
e - Water Softener
New
Water Softener
Manufacturer
nnetonka Blvd Minnetonka, MN 55305 952- 938 -1880 aunt ep00h@hotmail.com
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Pearhnount Heights LLC
7500 78th St W
Edina MN 55439
$15.00 0801.4087
$0.50 9001.2195
$15.50
Plumbing
EA076310
12/29/2006
ePermit
Line Size
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Use BLUE or BLACK Ink
F-ForO--ffi--ce - Use I
I I
J 1394-7
1
CiV of Eap I Permit I
` Permit Fee: _ S • aS 1
3830 Pilot Knob Road
j
Eagan MN 55122 Date Received: 01
Phone: (651) 675-5675 t Q~ I
Fax: (651) 6755694 1 Staff. l5 ~7 I
I 1
~j 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ` 73 SieAddress: ISZa - J~Z Z f I o l e_r Lc_ w"_ Unit
Name: ~t"~r• t rrwdv~'~ ck:c~.''~ 1 kAr.-cam.-n.cs kj Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work: Go r O ~P_t - 111. /4" A,,--,-%
Construction Cost: S -o
Multi-Family Building: (Yes l Noi~
Company: 1" VdF3' --r-0 Contact ~4,ia ~'+`ts.': rvt•
Address: l1~ Zy 6 S Tit Jet l•-tr- v- b fit, d Al, City: L4.k Y`to
Contractor
State: ~ Zip: J SIN Phone: to S '777-1,31L4
License * 13c, q (sl d Lead Certificate - ( 1
If the project is exempt from lead certification, please explain why. (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber. Phone:
Mechanical Contractor: Phone: i
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets
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.gaoherstateonecaH.org
I hereby acknowledge that this information is complete and agate; 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.
Exterior work authored by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name Applicants Signature
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