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4182 Knob Cir     íü    ûð  þýýü ûú ðú ÿ     ùüüýý ÿë ê    âþå  î    þý   ÿþýüû ù÷à úÿýüû ùýüûù÷à  ø÷àêûõ ûÿ úÿúîî äÿûü Þ ôÿë õûæõóóõôÿõþõè å÷÷ûååõ  ý ûèúååûåè úþõçôÿþü÷åõüóõè  ëéâéííè í èî í öù  ÿó Ýÿéâéè ð èð Ýÿ è  õó  òñ ûû ê÷ úü ð îíâþú êæòøòø ñáïáî îããã óþü÷ó óæóûûóóåõõûü÷óûûþ  åò ÿúüåäè ûûà õ ÿ ÿü ÿ      õ÷õ    ù þýüýû ÿþþ ý üûúüûúù     øýýþþ ùïúã î õðþýüý   ÿ  ÿþõ  úù ø÷  ìù ý ê á ö ø÷ ô ó  ìù ý ê á ßù   üý ü   ý÷  Þù    ù   òý  ûúý þ  ý ÷  ûëã è  þ  å òþ ì ëï ÷ý   ç æåæåå ôø  úù  ý ü ìä çæ ãæã  óüòü õ ñð ÷÷ý úýý õ ýüê áü  áý ø øù â æôåî á ò ý÷ þýüýòô  ëèå   øýó ü  ý ýâ  ý  ý÷÷ýý ý  ý ð ý  ýýü ÷øó ýý÷÷ý  úý  ðò ýúýù ýáøðþýüýí ý æ ÷÷ýé  úüýù  ù øúüýù ( ! T . .=, �, U $ s ,. fi or-, i . 4 c l � “04111*,1174ix{ '' , f ' , ' ',. , --' -49(4r, ,,_., 7,„, `. .A L y f � # 4 F 5'1.3 '',4';;,..?, f '�1,+ "' " r , °. Lax 5 a ' '� . 2,,„1/".,,-;:,,,,,,:: .' ` °- ! v "* 3" "�k� a.. ` sr' . �- V w+ may. ?, fi e ' � � � :.i.�� +te "` 9 t �� `"�"�� 7,.,...--.:'- , 7� « �r�4 ;. 3L Y .uk ... * r + y a m *, ' �� t, n S. a r.ro -:....-1.,,::24, k n e '4,, ' J''�, t f` y � . � K �74rY '�T'i ;: 4 5 * k � 1 _. i d i - ft" . -- :.' J'x ,, „.. wF � '�. >, ° ,�� ." c if 4TM« - ..,. , �� ' I Use BLUE or BLACK Ink I For Office Use I ' I ~ Permit City of Ea[I~d I a(4d° S Permit Fee: D I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / I l 13 Site Address: 41~° LJ 1q4 Lf I~Le 4(q?f Unit#: Name: Al Phone: Resident/ v~ J F: ~`v1 4rn ~i~~f 2 z Owner Address/ City/Zip: C ~ 'I`-' Applicant is: Owner Contractor Description of work: P. - 12~~ Type of Work , Construction Cost: 171 (e 60 Multi-Family Building: (Yes V/ /No ) Company: c? Contact: J In^P~ 3 `E3 '3 ~_V (off - 11a-q- to l l Contractor Address: 0 City State: r V~ Zip: Phone: _5C77~ Z( 777 License Lead Certificate If the project is e empt from lead certification, please explain why: (see Page 3 for additional information) - V_ f en L r; ~ l~ & \ red G~ 4t vv~ lz cal , 7 , COMPLETE THIS AREA ONLY IF CONSTRUCTING A .NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: 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. 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.org 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 approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. i x A VY\ t 1 t r? Vv~ Applicant's P ' ted Name App 'cWSigature Pag e 1 of 3