1528 Aspen DrRESIDENT 1 OWNER
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Name: 6 �I� f Phone - 567f
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Address / City / Zip: 6431 & -
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6., Applicant is: Owner contractor
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TYPE OF WORK
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Description of work: 4 a ell“-/'‘, ! _i► L t _ /. ° , At -4 f
Co nstruction Cost I ' 3 ( e Construction Multi - Family Building: (Yes X / No )
CONTRACTOR
Name: 43DriAi& License It MD 105 0
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State:/ UV . As , Phone: 6 /A:3 -- /q r
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COMPLETE
In the last 12 months. has
_Yes No If yes,
Licensed Plumber:
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan: _
Phone:
Mechanical Contractor.
Sewer & Water Contractor:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
Jun. 1. 2010 4:00PM SELA ROOFING No. 1929 P. 2
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3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
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Applicant's Printed Name
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Applicant's Signature
Use BLUE or BLACK Ink
ar_ - gee use
Permit*: 94,z3q
Permit Fee: 5_7 73
Date Received;
Staff;
2010 RESIDENTIAL BUILDING PERMIT APPLICATION 6,a2/
Date: / 1 Site Address: / °"- c •_- IJ 'C
Tenant _LJ /6_1( /5 J5c
Suite #:
CALL BEFORE YOU DIG. Call Gopher State One Gall 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,dopherstateonecal) orq
I hereby acknowledge that this information is complete and accurate; that the work WIII be in conformance with the ordinances and codes of the City of
t agan; that I understand this Is not a permit, but only an application for a permit, and work is not to start withOUt a that the work will be in
accordance with the approved plan in the case of work which requires a review and approv; j plans.
Page 1 of 2
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136092
Date Issued:04/25/2016
Permit Category:ePermit
Site Address: 1528 Aspen Dr
Lot:6 Block: 07 Addition: Surrey Heights 3rd
PID:10-73002-07-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Paula Tste K Woodside
1528 Aspen Dr
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature