4604 1_2 Penkwe WayCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4604 Penkwe Way 1/2
Lot: 2 Block: 06 Addition: Johnny Cake Ridge 4th
PID:10- 39803 - 020 -06
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments:
Fee Summary:
Contractor:
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437 -0338
Quesetions regarding elec
445 -2840
Larry Leacock
15966 Fennel Ct.
PERMIT
City of Eaan
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
cal permit requirements should be directed to Mark Anderson, State Elec
- Applicant -
Owner:
Gloria J Paulson
46041 93rd Ln NE
Blaine MN 55434
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Issued By: Signature
Mechanical
EA089216
05/18/2009
ePermit
cal Inspector, (952)
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
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