3155 Farnum Dr
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CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: _
No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit: No.•
posit:
Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances Misc. Charges:
By w7 Total:
Dote Paid:
Date of Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Piibt Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner: _
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA124734
Date Issued:07/09/2014
Permit Category:ePermit
Site Address: 3155 Farnum Dr
Lot:2 Block: 03 Addition: Coachman Land Co 1st
PID:10-18150-03-020
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.
Jennie Wood
1424 3rd St N
Minneapolis, MN 55411
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
David Wilson
3155 Farnum Dr
Eagan MN 55121--192
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature