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3545 Blue Jay Way Unit 102City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3545 Blue Jay Way 102 Lot: 246 Block: 04 Addition: Lexington Place 2nd PID:10- 45051- 246 -04 Use: Description: Sub Type: Work Type: Description: e - Water Heater New Water Heater Meter Size Meter Type Comments: Fee Summary: Contractor: Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365 -1340 Kris Oien 3670 Dodd Rd Eagan, mn 55123 PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: Manufacturer 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 Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Kimberly A Amold 3545 Blue Jay Way 102 Eagan MN 55123 $50.00 0801.4087 $0.50 9001.2195 $50.50 Issued By: Signature Plumbing EA092120 11/23/2009 ePermit Line Size PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170899 Date Issued:07/21/2021 Permit Category:ePermit Site Address: 3545 Blue Jay Way 102 Lot:246 Block: 04 Addition: Lexington Place 2nd PID:10-45051-04-246 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gordon D & Regina F Hanson 1400 Cook Dr Minot ND 58701 (952) 913-4446 H2c Inc Dba Heating Cooling And Plumbing 820 N Concord St South St Paul MN 55075 (612) 791-0850 Applicant/Permitee: Signature Issued By: Signature