2148 Water Lilly LaneCity of Eagan
Eagan.
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA096880
Date Issued: 11/08/2010
Permit Category: ePermit
Site Address: 2148 Water Lilly Lane
Lot: 101 Block: 03 Addition: Eagan Heights Townhomes 1st
PID: 10-22425-101-03
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
Fee Summary:
PL - Permit Fee (WS &/or WH) $50.00
Surcharge -Fixed $5.00
0801.4087
9001.2195
Total:
$55.00
Contractor:
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
- Applicant -
Owner:
Achraf A Sakam
2148 Water Lilly Lane
Eagan MN 55122--193
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.
Applicant/Permitee: Signature
Issued By: Signature
aV64 D--13149 /2_130
&AAA <Piikto P-148 v30,,W.r
For Office Use
Date:
Use BLUE or BLACK Ink
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Permit #: 13 to 0 9
Permit Fee: (06115 • 5o
Date Received: 9 /5 /
Staff: 8T5
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Tenant Name:
Site Address: 34, .13
tApalic th
Property Owner
Type of Work
Contractor
7Igto 2 4
(Tenant is: New / Existing) Suite #:
Former Tenant:
Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
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r:
Description of work: 9...e..) 'k- ,, ----, g..c.k.4 t '1-1 C.' C C- -• N f '
Construction Cost:
Name L k 1„,4
7
2 6e uity:
License #: !Alt
Address: L7:,..-.):::),))) (,) fr;
State: iiqfk, Zip
ett ittt
Contact:
Phone:
Email: 72-2'21
Name: Registration #:
Address: City:
ArchitectiEngineer
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service:Phone #:
NOTE: Plans and supporting documents that you submit 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 aretrade 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.popherstateonecall.orq
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 ofysgc which re uires a review and approval of plans.
x
Applicants Printed Name Ap nature
Pagel of 3
(:)\c*,..„n 50;01S
City of Eaaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Gilder- %/,v /an e.
Permit #:
Permit Fee:
Date Received:
Staff:
Date: 02 / / I/ Site Address: gig0
Tenant:
4 / i ' etketin
RESIDENT / OWNER
Suite #:
Name:
19,5h fa.f 5 -aka- m Phone: 515 %/ (71`7
Address / City / Zip: ZJ�f �' 14/der hill /tee R7,4"/ -
Applicant is: Owner y Contractor
TYPE OF WORK
CONTRACTOR
Description of work:
Construction Cost:
Name:
rev f rtpls LL�--
Address: Z Z3 92- d A7/e
Mufti -Family Building: (Yes- / No __J
License #:
City: FA -Orlin? 1?
Phone: ‘75/ " Amo co/ ell Contact Person:
State: Zip: 6f6Z:
$ e /7 Lr ey2906 v:5
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
a New Energy Code Worksheet
Submitted
Energy Code
Category
(4 submission type)
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Minnesota Rules 7670 Category 1
• Residential Ventilation Category 1 Worksheet
Submitted
• Energy Envelope Calculations Submitted
Yes No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Phone:
Phone:
Phone:
Sewer & Water Contractor:
NOTE•: Plans and supporting documents that you submit are"considered to be public information: Portions of
the information may be classified�as non publ►c`if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
I hereby acknowledge that this information is complete and accurate; that a the workwill and be inrk nn fo not rmano eswith th uthe ordainances perm t; that and codes
of k the le Ci be ty of
in
Eagan; that I understand this is not a permit, but only an applicationpermit,
z+ccordance with the approved plan in the case of work which requires a review and approval of plans.
difi ibtic:07
Applicant's Printed Name Applicant's Signature
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