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2128 Water Lilly LaneRESIDENT / OWNER Name: d L ` V Phone: 1 :1"L l r Address / City / Zip: 1 t, )r 0 L1 ; J CONTRACTOR Name: Appliance Connections I ntense #: 1313 D niia C ' '� Address: City: Shakopee, MN 55379 , State: Zip: X -44 . • ° i 3 Contact: Email: •• TYPE OF WORK New A Replacement Repair Rebuild Modify Space _ Work in R.O.W. _ _ _ _ Description of work: IIDENTIAL — Water Heater Water Softener PERMIT TYPE Lawn Irrigation Add Plumbing Fixtures (_,_:RPZ / _ PVB) Septic System ( Main _ Lower Level) Water Tumaround New >, Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing `Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace , Water Turnaround* (includes $.50 State Surcharge) (add $166.00 if a 5/8" meter.is New ($10.00 per as built) (inclwles required) County fee and $.50 State Surch4rge) etc.) (includes $.50 State Surcharge) TOTAL FEES $ bumed out appliances, ductwork, 4 11/ 1/ CllyofEa�all Date: Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2010 RESIDENTIAL PLUMBING P ERMIT APPLICAILON 1 k 9 .2 "fit Site Address: 1? C��.. e ,VY\`L- CALL BEFORE YOU DIG. Cali Gopher StateOne Call at (651) 454 -0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates efunderground utilities. www.aooherstateonecall.ora 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 il9'ra permit, and work it not to start without a permit; that the work will bq in accordance with the approved plan in the case of mirk whictfl requires a review and approv f plans. x 01 Applicant's Printed'Nam Applic$ftt's Signature th Permit #: c Permit Fee: S"5 Date Received: Staff: Suite #: Use BLUE or BLACK Ink FOR OFFICE USE Reviewed By: Date: Required Inspections:" Under Ground _Rough -In _Air Test _Gas Test _Final al p~►o2v~ , o~.lv~~t' i ~'~26, 02►o~lJ, Use BLUE or BLACK Ink a ► 3n~ 30 W444`4- L'I Yl~ I For Office Use------- I 2 q I I ~ City of Eayn ( Permit Fee: (v39 •a5 I ' 3630 Pilot Knob Road I I 01 / Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 1 Fax: (651) 675-5694 I Staff: I 2 t-----------------I BUILDING 2013 COMMERCIAL PERMIT APPLICATION Date: Site Address: A u C f I t t Tenant Name: g t ant is: New / Existing) Suite Former Tenant: Name: Phone: Property Owner Address /City /Zip: Applicant is: Owner Contractor Type of Work Description of work: r l~~< Construction Cost: < <..,.TT~ .,-e....o,.aw.. .nom .e .a,.-.., Name: License °r . Contractor Address - City: - State: Zip: Phone: Contact: Email: - i° P- Name: Registration rchitectlEngineer Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone NOTE. Plans and supporting documents That you subma 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 jeview and approval of plans. Applicant's Printed Name Ap`Dlidant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174120 Date Issued:12/28/2021 Permit Category:ePermit Site Address: 2128 Water Lilly Lane Lot:203 Block: 03 Addition: Eagan Heights Townhomes 1st PID:10-22425-03-203 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Justin R Garrick 2128 Water Lilly Ln Eagan MN 55122--193 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature