3107 Sibley Memorial HwyPROPERTY OWNER
Name: / /O y I PQDA4 l /C,57 Phone: /o? ' Yf - 7 7 17
Address / City / Zip: o77s 1,41-4,4.5_7 ,I % % id,U.4,4Aae4 /,� //14 . 55465
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: VD / V U % / F / G Ono 7 3 Z "4 ,' ,y A 77,04
Construction Cost: T' /O, 39/, /3 Estimated Completion Date: G 2 /c20/6
CONTRACTOR
Name: ',6i✓7)2V Ary 7'E"II0 .. /C. License #: �,5'°CJ / C- o
Address: c /Jo2 4 1'4 ,1 Ci tY ` / City: I,J e&iqe L
'/
State: //�iY. Zip: .5 0 Phone: lc+ S7 4016 44. a7
Contact: /�An/04 L L fg Email: /QCEtA,S' "wTR y Z3 isTc /il,M✓G. coin
WORK TYPE
New Remodel
_
X Addition Other:
_
X , Alterations
DESCRIPTION OF WORK:
X Commercial Residential Educational
_
FEES
$50.50 Minimum (includes State Surcharge) OR Contract Value $ /0 3 ?/. /3 x 1%
- If Permit Fee is less than $1,000,
= $ /03.9/ Permit Fee
surcharge is $.50.
increases by $.50 for each = $ • Sa State Surcharge
- If Permit Fee is > $1,000, surcharge
$1,000 Permit Fee (i.e. a $1,001
- $2,000 Permit Fee requires a $1.00 surcharge). ,, II
$ /o-�r. T / TOTAL FEE
City of Eaftali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2010 COMMERCIAL FIRE ALARM PERMIT APPLICATION*
Date: f 6 Site Address: 3/ .45 3'1.7 , �J'/11,� /A � f/ /Gf/ul�I 416-/I" /l/W 5:17.21
Tenant: (,t JA re/'2 , / A TE,e. _[/1/4/6 VA /O4/ Suite #: N 7;7
*Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used
I hereby apply for a Fire Alarm permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the
ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; 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 ca of work which requires a review
and approval of plans.,,
/0g4<67/ft-
Applicant's Printed Name
x
Applicant's Sign
ure
Use BLUE or BLACK Ink
Permit #: q3 /
Permit Fee: /041 f `7
Date Received: ' / 7
Staff: r`
J
1
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EAGAN,TOWNSHIP de,
3795 Pilot Rnob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Novsmber 28, 1972 Number; 1054
billing Name: Johnson a.lty Go. Site Address:3 Sibley Mem• Hwy.
Owner: sane Billing Address 7204 W. 27th St., Mpls.
Plumber: Harris Bros. Plumbing Co.
Location of Connection Meter Size 11 Connection Chg.
Meter No. Permit Fee 10.00 od 11/28/72
Meter Reading„......_ Meter D ep.
.50 pd 11/28/72
� . 108.37 - meter
�c
Meter Sealed: Yes h Add 1 Chg. pd 11/28/72
f' NO Total Chg.
IP Inspected, by
Date //- 2 7- 7
Building i4 a: ' Remarks:
Reaidanse�, OO RE- INSPECT ON FEE FOR
Multiple No. units.,, IMPROPERLY INSTALLED METERS.
Commercial xx
Industrial By:
Chief Inspector
Other
Inconsideration of the issue and delivery to me of the above permit, I
hereby agree to do abe proposed work in accordance with the rules and
regulations of Eagaa Township, Dakota County, Minnesota.
By:
Harris Bros. Plumbing Co.
Please notify the above office when ready for inspection and connection.
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: November 28. 1972 NUMBER 1220
OWNER: Johnson Realty Address 3107 Sibley Item. Hwy.
PLUMBER Harri a Bros. Plumbing TYPE OF PIPE Heavy oast iron
DESCRIPTION OF BUIIDING
Industrial Cossnercial Residential Multiple Dwelling No. of unite
xx
Location of Connections: Connection Charge
Permit Fee 10.00 dp 11/28/72
.>U pa 1 8 / 6
Street Repairs
Total
Inspected by:
Date i / — 2 7 — 7 - 7 . . . - - - - -
By
Chief Inspector
In consideration of the testae and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota
By
Harris Broa. Plumbing Co.
217 W Lake St. Mp)e. 5%08
Please notify when ready for inspection and connection and before any portion
of the work is covered.
•" � nnxx
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