Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
3551 Blue Jay Way Unit 104
RESIDENT / OWNER Name: Leo vt PJCO Fes' Phone: O 205 ( 047 I & . r • - Lk) -wit (©4- et/ ° . 423 Address / City / Zip: 35 ?1L CONTRACTOR Name: I r o ' ` `' l7ro 'CUB bbl G � License #: 0 ( 0 6 M Address: SS (5 ��1 l" J L � IX • Cit L LtL-eV 1 ( te State: Aiild Zip: 0 `14 Phone: ! 5 Z 4 l 2 6. q 1 c 1 55 or 1 _ rJei Email: Contact, 1 TYPE OF WORK New Replacement Repair Rebuild _ Modify Space Work in R.O.W. 7 X _ _ _ Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures ( RPZ / 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) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 5 D • 5 O 4 City 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicant's Printed Name MAY 2 6 RECD Use BLUE or BLACK Ink Permit #: gq/qe Permit Fee: /�' ✓t.� Date Received: Staff: 1 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 5 - (, 0 Site Address: 355 I 13 1 0 mot- , Cam" 551 Tenant: L€ O in a rd ,_CO re Suite #: 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. www.gopherstateonecall.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 accordance with the approved plan in the case of work which requires a review and ap. = - ns. x c / 47orct Lv&jd to