2955 Eagandale Blvd - Fire Sprinkler ReportF L /7/
SUBD.
CITY USE ONLY
BL RECEIPT #: 9:5o E e P RECEIPT DATE: 7 /9
1998 PLUMBINe PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 5518E
(618) 661-4675
Please complete for: all oommerciallmdustrial buildings
multi-family buildings when separate building permits are -tot required for each dwelling unit
backilow preventer to be installed in commercial areas or residential boulevards
Date: a 7 /S .7 Work Type: _ New Bldgl?AM-on _ Repair
Is Water Met Req ired? _ Yes _ No Water Flow GPM
To inquire if Pressure Reducing Valve is required on new service, call 681-4646.
FEES
1% of contract price or $25.00 minimum Contract Price: $ x 1% - U.G. Sprinkler
u,
COMPLETE THIS AREA IF INSTALLING UNDERGROUND SPRINICLER SYSTEM
Service: _ Existing (if coming off domestic line) OR _ New
Backilower Preventer Permit Fee $ 25.00
Water Meter V@ $189.00 or 2- Turbo @ $871.00 $
If "new service" odd Water Permit $ 50.00 = $
WAC $ 807.00 = $
Water Treatment $ 444.00 = $
Permit Fee $
State surcharge is S.50 per $1,000 ofDicaW fee or minimum of $.50 per permit State Surcharge $
Total Fee $
1 hereby acdmowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan
ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused
by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/tight-of-
way/easement
SITE ADDRESS:
v
TENANT NAME:
INSTALLER NAME: TELEPHONE i1: - "I to Lo o
STREET ADDRESS:
CITY:
OF PERMITTEE