4020 Dodd Rd SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 11/18/91
3830 Pilot Knob Rd. CHIP PERMIT # 12383
Eagan, MN 55122 -1897
METER SIZE B.P. RECEIPT # C 016235
DATE NOV 18, 1991 ISSUE DATE B.P. RECEIPT DATE 11/18/91
_ PRV BOOSTER PUMP
SITE ADDRESS 4020 DODD RD PERMIT REQUESTED
LOT 012BLOCK 80 SEC /SUB SECTION 24
SEWER X WATER TAPS
APPLICANT:
COMM /IND X RESIDENTIAL
ADDRESS:
CITY, STATE ZIP NEW X EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: Credit WILL NOT be given Deduct ` eters.
CITY, STATE ZIP
PHONE: • e
A REE TO C . ' LY WITH CITY OF
OWNER: LEONARD & ARLENE PERRON E GAN ORDI NCES
ADDRESS: 4020 DODD RD
CITY, STATE EAGAN MN ZIP 55123
PHONE: 455-8519 (w i i 2 4 ll SIGNATURE WHEN METER ISSUED
�'W IfW V I SIG i�
PL A LO O W R ' , � . � ' A F G. CALL 454 -5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. vp