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1767 Bluebill Cir úùú þ ÿ þ ÿþþýýþ üÿÿ þíï úóê ó ú ýüûúùø ÷ü õúùø ô ó ø÷ü Úü ÿ ÿ ø ï Üü ï ìüû ò þý ø þ ííí î ÷ ó óùõ ò ï÷ èî ø ï çæééí ÷ü ýüì ÿ ÷ö æéé öõõô úóò øø Þ ñîù üïûÿß ÿîÿ õ õ ÿìó ùëü ûä ü å òô ÿ òô èçë ì ûù ó ÿ ì ì å ì øø ì ì ðï ÿ ïøùóì øø û ý ðò ý ü äùð ÿ ã é øø á ï ýÿ ü ü ùýÿ ü úùú þ ÿ þ ÿþþýýþ üÿÿ þíï úóê ó ú ýüûúùø ÷ü õúùø ô ó ø÷ü Úü ÿ ÿ ø ï Üü ï ìüû ò þý ø þ ííí î ÷ ó óùõ ò ï÷ èî ø ï çæééí ÷ü ýüì ÿ ÷ö æéé öõõô úóò øø Þ ñîù üïûÿß ÿîÿ õ õ ÿìó ùëü ûä ü å òô ÿ òô èçë ì ûù ó ÿ ì ì å ì øø ì ì ðï ÿ ïøùóì øø û ý ðò ý ü äùð ÿ ã é øø á ï ýÿ ü ü ùýÿ ü CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: _ — —_ _ No. of Units: Owner: Address: Site Address: / 747 Plumber: Meter No.: Connection Charge: Size: __ _ Account Deposit: _— Reader No.• Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By ll Date Paid: Date of Insp.: L . I nsp.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: agree to comply with the City of Eagan Connection Charge: Ordinances. Account. Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.• — Total: Insp.• Date Paid: O to `1 t t-1(01 61 u.4 G r Use BLUE or BLACK Ink For Office Use 21 j i Permit t City of Eap I Permit Fee: !,A • -157 3830 Pilot Knob Road 1 4 1 Gate Received: IQ Z~ 1 Eagan MN 55122 I t Phone: (651) 675-5675 1 Fax: (651) 675-5694 Staff. I t•----------------- I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION I-i3 Site Address: 17591~t;1 17G3 I~asS 171s7 'i~c.9 ~t•rcb~~Uni Ia Date: a Name: Phone: Resident/ Owner Address / City J Zip: s Applicant is: Owner Contractor ' Description of work: G> ` c ^ i Type of Work ~ y Construction Cost: -t , ao d Multi-Family Building: (Yes AJ No ) Company: " 140A_i Contact J~ I Address: (i ~''7, t)t.1C C*,(- JA- Z>. City: r Art a Contractor I q State; (Y1 1'J Zip: Phone: 2?0-0 l 4 License ~j~ Lg ~J 5 Lead Certificate /1✓ f3T~~cro'7 - / If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Le_J V COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a. master plan? __Yes ,No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: W 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 L....e._..__ conclude that Le are trade 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 I hereby acknowledge that this information is complete and accurate; that the work wil I he 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 of work which requires a review and approval of plans. Exterior work authorized by a building,pennit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. -A- L X ! Jelru t-`~3-C r'.jc C r x Applicant's Printed Name Applicant's Signature Page 1 of 3 Date: City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use 7Permit #: (j7 ` V Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Resident/ Owner Type of Work C ontractol Site Address: Name: (/, 0 / Address / City /Zip: { 7c / e Applicant is: Owner /Contractor Description of work: Construction Cost: 9D6 Unit #: Phone d1.57 J 2 ^ ? 7< Multi-Family Building: (Yes / No ) Company: ' f ► �— Contact: Address: a n 91: City: State:91//7 . Zip: 55077 PhorZ5/ onWd f / /Email: License #:i27' 76" ? Lead Certificate #: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression 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 Cr to conclude that the are trade 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.gopherstateonecall.org 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 of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. De_mrti\ Applicant's Pried Name Applicant's Signature Page 1 of 3