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3573 Blue Jay WayPROPERTY OWNER Name: S\N - M� ' Yuma.. Phone: 1 3f L..Of I SC ! (.9 '/ 73 CONTRACTOR Name: 1 (=vhpv—.. ` \,r\S License* bk0 b 0-4 S ' (` . Address: PAI AQ\t- Or f Cod \A' %`j \ State W \ Zip: SS 1 13 �Ciity i m 4 1 knnC,11 Phone:(ca�J\ o1 r0 / Email: 1"er C t rilk`A‘k , C''W .. ■ TYPE OF WORK New Replacement ) Repair X Rebuild Modify Space Work in R.O.W. _ _ _ Description of work: RE. `LSD T PERMIT TYPE COMMERCIAL New Construction Modify Space X Irrigation System ( _ yes / no) (A RPZ / PVB) — • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675 -5646 to verity that tests passed prior to picking up meter. QI Domestic: Size & Type 0 la 11 -ttr9 (.4.5- Fire: 1 Avg. GPM High demand devices? _ Yes No Flushometers _Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ x 1% Required - If Permit Fee is Tess than _ $ Permit Fee on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read $1,000, surcharge is $.50 = $ Meter(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 a $1,001 - $2,000 Permit Fee requires a $1.00 surcharge). = $ State Surcharge $1,000 Permit Fee (i.e. Following fees apply Call the City's Engineering when installing a new lawn irrigation system. $ Water Permit Department, (651) 675 -5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ City of Eaaaft 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2010 COMM G N Date 1 (� Site Address: Tenant: ��e. 1 Y c x ,�4� y` LI Applicant's Prin d Name P - 8' J ,, 7 1�/6� . ERCIAL PLUMBIN ERMIT APPUCATIO x Applicant' Permit #: R(l7 Permit Fee: - -60 Date Received: Staff: Suite #: Use BLUE or BLACK Ink 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. Iwww.ciopherstateonecall.orcI 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 accordan ith the approved plan in the case of work which requires a review and approval of plans. Page 1 of 3 � Use BLUE or BLACK Ink Ir---------------- I For Office Use � J • � ��.:�/�-�-� �.- C�� O{'�1n nn i Permit#: � � 1 liQ�all � PermitFee: C(�(1 ` �� I 3830 Pilot Knob Road � Eagan MN 55122 j Date Received: � Phone: (651)675-5675 I � Fax: (651)675-5694 I Staff: � �-----------------� 2015 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please su mit two(2)sets of plans with all commercial applications. Date: � Z3 /� Site Address: �� �� B�k� �ce..�, �a-�i Tenant: Suite#: P�tlpL�ty } I (� Qwil#:i Name: C..{'X� �,. To �" (�-f,C �o►�.�,d� miv �o Phone: Name:�� IV.c1t.5e w .�-v'���-t-5 License#: �����`�`�`'� �������� " Address:���� �1 ��a-�t.Jr�e� ��City: �n)���, State:�N Zip: �/�� �� Phone: 1r51"��v�'1 "1�YB� Email: �2,�vi c..�� jc.,� lu.n.�,� , �,�. � ' _New Replacement _Repair �Rebuild _Modify Space Work in R.O.W. T�/'�S��"�t3'C�� ' — _ , Description of work: �'��r�� �U �: 1 k,� ,ti5 3�7 S l�PZ �y e�.! ���'r'�d e� f�`'�"( : COMMERCIAL New Construction Modify Space Irrigation System(_yes/_no)(_RPZ/_PVB) • Rain sensors required on irrigation systems Pe�'���:T•�l� • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meters Call(651)675-5646 to verity that tests passed�rior to qickinq up meter. Domestic:Size&Type Fire: 1 Avg.GPM High demand devices?_Yes_No Flushometers_Yes No COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum, includes State Surcharge =$ Permit Fee � *If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.0005 =$ Succharge* If the project valuation is over$1 million, please call for Surcharge _$ TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant $ Water Supply&Storage $ State Surcharge _$ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. 1 I hereby acknowledge that this information is complete and accurate; that the work wi�l 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 permft, 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 plan x �'1`t'.1��C.n IV-�/���w x " ......,. Applicant s Printed Name Applica s Signature : „ � �� ;: � � FUf����)� l�.�� Af�p��d�` _ � .. �°��' I��e � Required'lns�aec�tsn�: '�,,,,U�s��r�ruurid:,_,.,^Rpu�t�yl�,•,,�„�„Arr�'�s# ,,,,,,,_��r�Tss� �,.,,,.���I ' P�Y�i�uired -:�'��_.hlc� . : Mete�r Rela�ed lterr�s: M�t�r Size� �. F�ad�t� R�d , �l�n��t�r : :��... ' Page 1 of 3