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3804 Willow Way         üù  ÿ ÿþþ  ýðýü      úþþ îøðíñí áäööò ääáä   ÿþö  þýüûúù  ø ÷öñöýûúù  øöûúù ø ÷öõ ÷ô ù ó   öùòý ñ ýñ íýùú ð  þïýö î  óùöì ó  ó ö ïýö ó   öü öóë ê ö   ù  ÿêöêöó   þ ù ëñêöêù ê öë ñöüóé   öö ö ïýö üú   êóúó ë  î çæçååëåëå õú  þýöö  èýçæçëäëä èýÿë  ôó ö òñ ùù ã é ööö æ êö åáâ êê öò úåø øú í ãõáä ãõ àÞáßä  ö üú    ì ö ùù  êöóöö  ö óùú ùùü þ  êã þý ñúê íö ë ùù÷ ý úþ ýö      ö÷ö    ÿìø  ÿ þýý  øûúûúú     ùýý ÿðìíñí çæööì ææçæ   þýö  þýüûúù  íýö Ùöò ö øöûúù õ  öùíýö Ùöò ö Öý ö ö   öù öóö îýö ó ýü ö  ðö öÿþ  ö ù öÿÝæÜ  ý â ð öóí Ýô ù ó Üäéâéââ õù  þýöö íØ äéæéæ  ôüüó ö òñ ùù  ö ö ã àö õ á þâøøú ýöá ðõè ðõ ÝæÜèç  ö üú   á ö ùù  àöóöö  ö óùúùùü þ  àð þý òúà ñö é ùù÷ öó þ ýö ý úþ ýö CIT : 4 EA�G_A WATER SERVICE . PERMIT l n-.21199 PERMIT NO.: x ' 55121 DATE: _ 10 -11-83 R N o. of Un 1 Of 4 Owner TO]. lefsafl Bides Mdress: Site Address: W31 OW Way L69 X31 Hill 4th Plumber: Ganz Ryan Meter No.: Connection Charge: 4 a . t !f } kiu Size: Account Deposit: Permit Fee: 10.00 pd Reader No.: i 50 pd . 1 6gros to comply with the City of Eagan Surcharge: Ordiaoacot. Misc. Charges: 60.00 Pd met Total:.. Dote Paid: Date o Insp.: ; � ink Use BWB or BLACK Ink -T-_ For Office Use • i Permit o ~ ~ ~ 1 I MY of EalanI ~ ~ as I Per+nit Foe: l 1 3830 Pitt Knob Road I late ftoowd: 10 I n MN 56122 I Phone: (651) 67541675 I s I For. (661) 67541684 W 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Emb. / Site Addrew.3?CV, 3 BP.E, 3 7'o N, 3Wo6 l~ 1 L..C-a W Wp Y _Unim xv a G 1 " 7 • 3 - 3 Name: 61o A C T 14 r4 .,J 4 6 ~ At Z. y T Phone: 'a` p ~o E~ f`itK er Addrm / City I Zip: V S0 Q All A3 • Applicant is:. Owner 2, Contractor /o'`j '~7 i :0tt Deacription of worts: `TE/1-2 O a Q E F Construction Corn Multi-Famliy Building: (Yes /No Company: 1I E J 41- rt.2~oR tae P. CoMat aravia Va" t2-R S Addrm: ~o s 60~ ST . City: Stabs: Afkj zip: SS'yi 9 Phone: 10-'A - ~6/- 4,;z y3 License C A 9";., 3 / Lead Certificate W. If the pmled is eMmpt from lead certification, please egplain why: (see Page 3 for additional information) ~ QLD(o3 t r ar-' a-iiLr Pos; l F'7 ?T COMPLETE THIS AREA ONLY IF CONSTRUCTING A ~N , IIMILPJNG In the last 12 momtire, has the City of Eagan issued a permit for a almilar pain based on a master plan? ' Yes Wo If yes, data and address of master plan: Licensed Plumber, Phone: Mechanical Contractor. Phone: war & Water Contracl or: Phone: CALLLRLY 0119. ftmn one call at (w) e34, m for pnotecoion a9wrrd underground udwy damage. Call 48 horns Underground udlftbs, wNnN.A4nleoner~all-arg I hereby acknowWp that this inbmadop Is ooWIW and acarrate; llwt the work wlil be in conbmarice with the ordinanom and codes oftine Qty of flan; that I undo 8WW this Is not a permit, but only an appGcom for a permit. and work is not to shut whhout a permlt: that the work wN be In 9ooorder~oe wqh tns epo+ovw Wan nn ti+o rvw erwon~ wHlah rogWroe a rbvlevr,end aDDrovar or Plana. ExWd0r *v* authorised by a building ponltit Issued In accordpnco wkh the Mlnmesom Sods Builds Code must be oomplebd wilhlm 180 days of permit issumme, x f~uR2rS Appiioant's P1 1 i;ad Name x AppllranCs Slgnnature Page 1 of S Z0/Z0 39Vd 1NICW 1X3 139 L9Z9T98ZT9 66:ZT 6T0Z/9T/0T