666 Brentwood Lane :SEWER & WATER PERMIT , OFFICE .USE ONLY '
CITY OF EAGAN METER PR11 DATE O4 ;r °
3830 pilot Knob Rd. ' 1 49 Eagan, MN 55122 -1897 CHIP # _ . - PERMIT #
METER ` SIZE 8.P. RECEIPT # -do
DATE A PR 25 1991 ISSUE DATE B.P. RECEIPT DATE 04
PRVtSTER PUMP
SITE ADDRESS ' 66 i BRENTN00P) LN PERMIT REQUESTED , t
LOT 5 ALOCK 1 SEC/SUB WINDTREE 7TH
SEWER X WATER — TAPS
APPLICANT: ,
ADDRESS: _.
.COMM /IND K __.1,,_ IDENT1AL
CITY, STATE ZIP _ NEW EXtSTth
PHONE:
Lawn Sprinkler Meters are lio be - tnstaited
PLUMBER: NEU PLUMBING head of Domestic t�Ietera. Water Line.
ADDRESS: 9 S / $ t/cwr i //P4 - F WoLL ► • be given for Deduct, Meter*:
- CITY, STATE 643% 4 3- i i
-644-9969 $$_ / SS /Z rM t t�
PHONE: t.._ a
I' A c w COMPLY ' It CITY '
OWNER: MONTGOMERY DESIGN & BUILD EAG
ADDRESS: 3772 RIDGEWOOD DR
CITY, STATE EAGAN MN ztP 55123
- • ` 681 -1 =773 OR 457 -4075 / SIGNATURE Iii $EM Iii TER ISS IED
p N EY : 4 • OC CALL 454 -5220 FOR INSPEC IG
'SEWER IO. FOR STORM
R ' CONTACT - _ ' C DEPT ( !/