3106 Alden Pond Lane S SEWER & TY OF WATT .; °FFICE
PERMIT OATI 1C32D ' ' ° l �
3830 Pilot Eno ` wATER #tl1` . SEWER PERMIT .#E
P.Q. Bo:( 21190 METER #: : B P R EIPT #
Evan, MN 55121 READER* '. :.0 IPT DATE ' /8
METER S&w - T #C4089
ISSUE DATE PRV :' BOOSTERS
SITE ADDRESS 31 416 A 1(IAn Pr)Pr1 T 11#1 PERMIT REQUESTED
• LOT _1Z.BLOCK 1 SEC /SUB � �!
APPLICANT: '' Rose ConsZrtuction inc.. �CSEYVER ATER TABS
ADDRESS: 1711 ' x = f t Rd B GOMM /IND DENTIAL
CITY STATE USCYII1 zip 55113
PHONE: ` 01.3234 Nay ____ EX TING
4t ' PLUMBER: Mal 'tyI` 1 4 03 ra 1
ADDRESS: 1 � t�".153 1 AGREE 'TO- H CITY OF
CITY, STATE . : ekt. MN _ 21P 55369 = EAGANORD1
PHONE 4241, ,s i z'
DINER: s 222o ° I .i t8F1 rag:IrtiiPty.q114r
ADDRESS 1711 V, flOgIgtY r I3 WHEN ME 'ER ISS RED
CITY, STATE ttPsOltillik } - ZIP 35123
PHONE: 0 1 504 "4q4 50
At O WORIKING` AYS FOR PR# t . STO
,FOR RM ,SEWER RED; FACT
MAW
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