3222 Alden Pond Lane WATiER RMIT OF
PERMIT DATE FICE>USE ONLY
CI TY of & EA
922/89
SE
PiIOf Knob Rd '' WATER PERMIT # 18916 - SEWER PERMIT #
P.O. QI( 211 METER # B.P. RECEIPT #
MN 55121
` flEAT)ER' #` " B.P. RECEir 1.DATE'
METER SIZE S&W Receipt : ' C
ISSUE DATE — PRI/ _ BOOSTER PUMP
SITE A 3;42 ode »° 1' d. PERMIT REQUESTED
LOT 9 8 3 .SEC/SUS
APPLICANT: Ilnap (7en atrivi f tvn Walt' #= ' EWER L''0 i TER — TAPS
;; ADDRESS ' COMIt IND _t- 21 IAL
CITY,' STATE Sey .I _,, 4,543 , ,
PHONE: 631425+ .. ,, _' W ____ _ Ex1STm
PLUMBER: ' jor 1* ll 7 X t
ADE' ESS: , 1 fl i, iy 1 .g7 ° - 1 AGREE 10 COMPL WITH CITY OF
CITY, STATE : ,gip 1 � , • *,1 , ° , ZIPS i9'. EAGiAN ORDIN ICES:
PHONE: , 80
X
OWNER: :' 2220 L cited Part"$$ 11 _ ,
ESS • } 1711 w` rolant y' Id. R ',/, - s SIGNATURE WHEN METER ISSUED
¢ITV; STATE !? 91 R " '11P , ;5 11
PHONE: J1 6?6xRf)Stlu
PUASE ALLQW;'I WORKI IG DAYS POR.FROCES OR STORM S ER FTS, CONTACT
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