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1871 Silver Bell Rd Unit 219RESIDENT / OWNER Name: I d i— Plto 6- — If . ` ' 71 Address l City / Zip: ' ip L./y l�"-Cr[.. / < - ��s..._ CONTRACTOR ... Name: : •f' , _ > /'t- License #: r V _ .k.d Address:.f -1 r ' City: �y / State: /V. Zip: x Phone: /�/ Irte f!/r7 - ; _� r 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