1075 Lone Oak Rd - Tank Removal
MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT..CNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/iNDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH D'v'VELLING UNTT.
DATE: ro CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
1% OF ?C3?I'1'S2?,t;a;I° F`EE
:.F:..,...:.z .....:......::: ,.
PROCESSED PIPING:
MINIMUM FEE:
STATE SURCHARGE
TOTAL
SITE
FEES
?
$25.00
$25.00
$.50 FOR EACH $1,000 OF ; ,?' FEE.
.?.,
$
OWNER NAME: ,C.( S kJ TELEPHONE #: ( , /?-
TENANT NAME: (IMPxovEMF-rrrs otvt.Y) .C.?S cJ
INST.
ADDRESS: ?`-t l LJ • '_4-`1
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CITY: Q(.G13 h'4?i?lG'I?J STATE: 4'I? ?.J , ZIP CODE: SSYzd
TELEPHONE #: Rf39
SIGNATURE OF PERMITTEE, CTT INSPECTOR ?._a?-qy,?? , pno 0
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c-v?NQ- oAK?RD. ?E.A GA
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NOVd?I
Bmitanmrntd Senices, Inc.
llAVISON C. NAGLI:
F.mianmenl:J (:enloGi?t
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%v ?S'„f tiw dlcIo
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Suile dUll, Il.arltinc (:afri
11071IawdUur IiouL•,:nd. CLati4a. AIN 55:313
612/448-9 391 P'AX CI2/114-9572