3560 Blue Jay Way Unit 103City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3560 Blue Jay Way 103
Lot: 119 Block: 04 Addition: Lexington Place 2nd
PID:10- 45051- 119 -04
Use:
Description:
Sub Type:
Work Type:
Description:
Comments:
Fee Summary:
Contractor:
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435 -2442
e - Water Heater
New
Water Heater
Meter Size Meter Type
Manufacturer
Mike Skaja
2090 County Road 42 W.
Bumsville, MN 55337
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Serial Number
$50.00
$0.50
$50.50
Remote Number
Owner:
Debora Beck
3560 Blue Jay Way Unit 103
Eagan MN 55123- -241
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Plumbing
EA091344
09/28/2009
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