4198 Knob CirCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4198 Knob Cir
Lot: 003 Block: 02 Addition: Knob Hill of Eagan
PID:10- 42500- 003 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Meter Size Meter Type
Comments:
Fee Summary:
Contractor:
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365 -1340
e - Water Heater
New
Water Heater
Permit closed
Kris Oien
3670 Dodd Rd
Manufacturer
hout required inspection(s). Letter sent to applicant 3/2/2010. (pf)
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Cecilia A Howard
4198 Knob Cir
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
$50.00 0801.4087
$0.50 9001.2195
Plumbing
EA091214
09/21/2009
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
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Permit
City of Ea I o d 1
Permit Fee:
I
3830 Pilot Knob Road
Eagan MN 55122 Date Received: GI P
Phone: (651) 675-5675 I ~ I
Fax: (651) 675-5694 i Staff: l.lp
/ 22013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1.? Site Address: " l ,92 - t l P I l l~ D Unit
Name: Al Phone: [,S
Resident/ + v~ C ~M ►!V' ~`~f "L z
Owner Address/ City/Zip:
Applicant is: Owner Contractor
Type of Work Description of work: Rf, r 40
Construction Cost: 12r Lt 60 Multi-Family Building: (Yes //No
)
Company: Contact: , I cv 3 - -3
e1c (d~ 1- 11
Contractor r~J-1E~l[
Address: 3 U t,J City: `
State: Zip: Phone: d f X77- 777
License Lead Certificate
If the project is a empt from lead certification, please explain why: (see Page 3 for additional information)
.p
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:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portion -of
the information maybe 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.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 review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x~CvY,.kiL~ *'ca' Applicant's P ted Name ure
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