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3662 Kolstad RdRESIDENT /OWNER Name: / I 47iC.a-5 r70..c -.- A/Li Phone: 6 / Z -87 1/9 / Address / City 1 Zip: �i1t/.V4' /i/ Applicant is: Owner /Contractor _ TYPE OF WORK Description of work: ,yxr, /„A .11 p I / Construction Cost: /A L- • I0 *ti- Family Building: (Yes ) CONTRACTOR Name: ♦, 6sj ._ .' I ' ri .ii/ _ +r • License #: 47?-5 7 _ Address :1 o (/a L S lee ' 351 City: 7( yjyZv` / "r State: A Zip: T Phone: V 1 2-- 72- 3 ''a`i ..3 VS" Contact: J Lrr +-^'� Email: COMPLETE in the last 12 months, has 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: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: 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. Nov 15 10 05:10p Gates General Contractors 4 City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 (763) 498 - 7710 p.4 Use BLUE or BLACK Ink For Office Use / Permit : / 702 ( Permit Fee: 3 '�y/ / C 0 Date Received: Staff 2010 RESIDENTIAL BUILDING P RMIT APPLICATION 1-644 [ )i ‘ s'f ?6- r ��° l Pik /� Date: ! f J / �J Site Address: 5"�� (Sr 61.64,4 e6 d, EGG7 746 Tenant: Suite #: 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_gopherstateonecaJl.orq I hereby acknowledge that this information is complete and accurate; that the work will be in Eaga understand this is not a permit but only an application for a permit, a a orclan with the approved planthe case of work which requires a review and Applicant's Printed Name is royal of pl ns. wt's Signature nuance with the ordinances and codes of the City of t to start without a • • rmit; that the work will be in Page 1 of 2 ? EAGAN TOWNSHIP 3? ?Q ?'? 3795 Pilot Knob Road r? St. Paul, Minnesota 55111 ? Telephone 454•5242 PERMIT FOR SEFJER SERVICE CONNECTION DATE: May 15, 1972 NUtiBER 1004 24 OWNER:New Horizon Homes pddress 36605 58 , 62, 64 Kolstad ? PLUMBER Thampson Pltiunbing Co. TypE OF PIPE Heavy Cast Iron AESCRIPTION OF BUILAING Iaduatriall Commerciall Residential I Multiple Dwelling I No. of uaits I I I X 1 4 Location of Connections: Connection Charge960•00 pd 7/6/72 Permit Fee 10.00 dp 5/15/72 Street Repairs Total Inspected by: DaCe Remarks: By Chief Inspector In consideration of the issue avd delivery to me of the above pexmie, I hereby agree to do the proposed work in accordance with the rules and regulatioas of Eagan Toc•mship, Dakota County, Mianeaota $Y 1"homn4rm Pl imh'ne CO. Please notify when ready for.inapecCion and connection and before any portion of the work is covered. ? EAGAN TOWNSHIP 3795 Pilot Knob Road St, Paul, Miaaeaota 55111 ? Telephone 454-5242 PER4UT FOR WATER SERVICE CONNECTION Date: MaY 15, 1972 Number: 837 Billing Name: New Horizon Homes Site Address: 3660 8 62 6 Kolstad 219 , 415, 416, 417 Owner: S?e Billing Address 33632 Plumber; Thompson Plumbing C. Building is a: Residence Multiple X Ko. Units 4 Commercial Industrial Other Ass'n.Reader: 336324 Meter Size Coanection Chg. 0.00 d 7/6/72 Meter No. Permit Fee 10.00 Pa 5/15/72 .50 iZ 5/13/72 Meter Reading Meter Dep. 5 meters at 66:60 ea. Meter Sealed: Yes Add'1 Chg. 300.00 NO Total Chg. Mtr.aa 11 8p ?' 1% Inspected by Date Remarks: ,- :?l?.l?J I.._... . ._ ._.. _.. I'vC? 7 ICLL?D E iEfcS. By: Chief Inspector In consideration of the isaue and delivery to me of the abave permit, I hereby agree to do ttm proposed work in accordance with the rules and regulations of Eagan lbwnship, Dakota County, Minnesota. By: Thompson Plumbing Co. Please notifq the above office when ready for inspection and connection. ?