1871 Silver Bell Rd Unit 219RESIDENT / OWNER
Name: I d i— Plto 6- — If
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71 Address l City / Zip: ' ip L./y l�"-Cr[.. / < - ��s..._
CONTRACTOR
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Name: : •f' , _ > /'t- License #: r V _
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Address:.f -1 r ' City: �y
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State: /V. Zip: x Phone: /�/ Irte f!/r7 - ;
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Contact: , ..../....t., Email: ��..+� ... _. ATI
TYPE OF WORK
New 4Replacement Repair Rebuild Modify Space _ Work in R.O.W.
_
Description of work:
PERMIT TYPE
RESIDENTIAL
_ Water Heater Water Softener �J� / may
Lawn Irrigation 1. ®` . P � ! 1
(.,, RPZ / PVB) L 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)
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
$30.50 Lawn irrigation
$50.50 Add Plumbing
"Water Turnaround
$100.50 Septic System
890.50 Fire Repair (replace
(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, eta) (includes $.50 State Surcharge)
TOTAL FEES $ .hiV I
FROM : PODANY PLUMBING
4 111/k City of Eatau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675-5694
2010 RESIDENTIAL PLUMBING PERMIT
Or
Date:62 -11. � 9/b Site Address:
Tenant fliif i P.-t. /2C _
Applicant
PHONE NO. : 448 2709 Jun. 16 2010 10:11AM P2
X
A
Use BLUE or BLACK Ink
Permit #: qqq
Permit Fee: 50.50 /
Date Received: , L. -14
Staff: $27
PPLICATION
Suite #: ,,,tt
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 464 for protection against underground utility damage.
Call 46 hours before you intend to dig to receive locates of underground utilities, www. opherstateon
t hereby acknowledge that this information Is complete and accurate; that the work will be In co ... .- nee with the oordina
Eagan; that t understand this is not a petntit, Out only an application for a permit, and work •t to start ° ^
accordance with the approved pi in thn case of work which requires a review end approval
nd codes of the City of
t; that the work will be in