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1204 Timbershore LanePERMIT City of Eagan Permit Type:Plumbing Permit Number:EA169892 Date Issued:06/14/2021 Permit Category:ePermit Site Address: 1204 Timbershore Lane Lot:3 Block: 13 Addition: Timbershore 4th PID:10-76503-13-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 - Kelly R Mcduff 1204 Timbershore Ln Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature RESIDENT / OWNER Name: titer t-6 i G�.- Phone: ,.,,...r Address / City f Zip: .i '+ r_ ' C /�� _ . .' Applicant is: Owner — Contractor .— TYPE OF WORK Description of work: I Ci/t7v Construction Cost: /C, s-P 3. Multi-Family Building: (Yes No ) CONTRACTOR + 1/1 Name: 6IIr�S r e. License #: & '77 3 f Address: �i'S -1O 1 - (5'6 v/I /-./'1 City: 4/� 4�� '"► S State: /444/ Zip: -05 9/t/7 Phon tea --- 773' - '4 , 3 v1� Contact: 1 `7/L + r 1- 6,11 s Email: '3. l4 s.- 047 GS eifa4/ / diei., COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING, A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Plumber: Phone: Licensed Mechanical Contractor: Sewer & Water Contractor: Phone: 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 are trade secrets. Jul 12 10 08:13a Gates General Contractors 4 IP* City of Eaall Date: 7" - 1 'Z - d Tenant: I hereby ackn Eagan' a 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 nt's Printed Name Site Address: edge that this informati erstand this is not a the approved pia x f� c Applicant's Signature (763) 498 -7710 p.3 Use BLUE or BLACK ink For Office Usg� Permit #: (✓ J Permit Fee: Date Received: Staff: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 .0002 for protection against under9rounid utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. lwww.gopherstateonecall.org I J 2010 RESIDENTIAL BUILDING PERMIT APPLICATION gZ I f " f, 12-0q, /2 G Suite 4: n is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of unit, but only an application for a permit, and work is not to start without a permit; that the work will be in case of work which requires a review and approval of plans. Page 1 of 2 õíõ üê ýüûüú þýý üüûûúü ùýýüúð ýíî ÷ñøþ ÿë þë à ÿþ þýõ ùø÷ öþþî üþÝ þ õ ÷ öþóþ þÿ öî üþÝ þ Üþÿÿ þûü ûþþ üöþ ñ þï þñþÿÿëøþ þþãü þ ÿúùüþýþ üÿöþ úáäß ý ãý þ ñîþþáòþöüþñþÿßæêê ôù ù ëü ûþîèþæêäêä óøøò õ÷ñ ööü ùüü þüûÝ ûÛüñþòüñøÿþ ñëìþêó÷ñøþ ÿë þüþ ãþüöÿãóýüûüãó áàßàà ëþ þø ü þûþëüëüìþ þüëÿüööüüÿüþëüëþé ñüÿ þüüû þþñö ëüüööüøþùüþ éãþÿüùüþÿü éýüûüí üþÿê ööüô þ ñþþùûü þÿÿþ ùûü þ