2252 Water Lilly LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2252 Water Lilly Lane
Lot: 401 Block: 02 Addition: Eagan Heights Townhomes 1st
PID:10- 22425- 401 -02
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments:
Fee Summary:
Contractor:
Air Mechanical
16411 Aberdeen St
Ham Lake MN 55304
(763) 434 -7747
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec
445 -2840
TINA NEUBAUER
16411 ABERDEEN ST NE
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Wilson Hendrawan
2252 Water Lilly Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Mechanical
EA089902
06/25/2009
ePermit
cal Inspector, (952)
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Permit n I
!!1, CR of Eap Y I Permit Fee: 25
3830 Pilot Knob Road I
Eagan MN 55122 I I
rJ I
I Date Received:
Phone: (651) 675-5675
Pax: (651) 675-5694 I Staff: I -
L-----------------I
2013 COMMERCIAL BUILDING IT APPLICATION
Date: 13 Site Address:
~I-
Tenant Name: (Tenant is: New / Existing) Suite
Former Tenant:
Name: Phone:
Property Owner Address ! City / Zip:
Applicant is: Owner Contractor
Description of woriz : l
Type of Work - ~
Construction Cost:
Name:. License
Address: _ s `r a City:
Contractor
State: _ Zip: P Phone:, ,
Contact: Email:
Blame: Registration
rchitecJE rer Address: City:
State: Zip: Phone:
Contact Person: Email
Licensed plumber installing new sewer/water service: Phone
DOTE: 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 hermit the City to
conclude that their 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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; 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~teview and approval of plans.
t z /01 F
Applicant's Printed Name Appl'icant's Signature
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Applicant's Printed Name