The URL can be used to link to this page

3590 Blue Jay Way Unit 205RESIDENT !OWNER cf20 s�" ' U -6 P Name: / LLwut 5 phone: y't Address 1 City 1 Zip: J 35 4 1 b Luke E.. nid 55 CONTRACTOR r� I Licen #: o ! L7 !'r► Name: 144 S 6u-tJ� ��uc+^ L1 e Address: 5 (p �J A - .-- Cit !i'5SCIS � `�A ,r7 State: J�r1 zip: 55 36G) Phone: 1OSr - 951 /Of b Contact: rim ' f f,4 hd/ rvt Email: TYPE OF WORK New X Replacement Repair Rebuild Modify Space — Work in R.O.1 _ _ _.__.. Description of work: . s 1Q 4 e 4L -_ :•_ -: ` ' t- PERMIT TYPE RESIDENTIAL 1 Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures (_ — RPZ 1, PVB) (____ Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: . $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.60 Lawn Irrigation $50.50 Add Plumbing `Water Tumaround $100.50 Septic System $90.50 Fire Repair (repl (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $1 66.00 if a 518" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes 5.50 State Surcharge) TOTAL FEES $ 9. Apr 02 10 01:23p Dortha Tenant City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 763 -425 -7461 C.-0 n 1154q 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 'hs f 1 O Site Address: 35' U r~ F �� `,�r t- -AIL CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 4540002 for protection against underground utility damage CaII 48 hours before you intend to dig to receive locates of underground utilities. I hereby acknowledge that this information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the C Eagan: that I understand this is not a permit, but only an application for a pennit, and work is not to start without a permit that the work will 1 accordance with the approved plan in the case of work which requires a review and app of plans. x ty i-\eun X 4tovt_. w...- n-.....w,... c:M.�a..� p.1 Use 77" " " or BLACK For Office Use J Permit #: C 3 1 / / 0 -L' Permit Fee: . v Date Received: Staff: Suite #: þ ý þýý üûúû ú ùýýø êé ø ðð è ððð ÿ þý÷ üûúùø ñôûùø ÷ôùø ÷öõôó öõò ø û ñ ûñ ððìûø ù ï üîû ô í øôë ô îûô ô ú ô êé ôööø ý éôéô ý ø êñ éôé ø é ô ê ñ ôú è ô ô ô îûô úù ö é ù ê í æääêäêðä öù üûô ô æê ê ç û ýê õô ÷óò øø ò ö ô ã ôùåâ ñûùò ñ÷ û â ù÷ ù ò ë þ ãó ÝßÜßðð ô úù ö ë ô øø éô ôô ô øùö øø ú ü éã ü û ñùéþ ìô ê øø õ ô ü ûô û ùü ûô