3773 Hwy 149 $EWR > WATER IVRi T . OFFICE Y
�f EAGAN **TER* PEANUT DATE 7 / 6.18 )
Pict K *Rd.
an, MN 55122.1897 . . CHIP# WATER PERMIT # 1 D
METER SIZE B.P. RECEIPT # 186
ISSUE RATE,: &P RECEIPT DATE //89
PRY ' ER PUMP
SITE AQDRESS 3 1 7 7 3 fr'n. '--� ` 14 ' l 4-P4 ilv DQK REQUESTED
S O T O C K . , � 8 & B
APPLICANT: ; I3O! j�- �°
APPLi a S iVIIEI;{ WATER — TAPS
ADDRESS: 4 „E 64/x` i^ s 0 i �C COMM/1ND — RESIDENTIAL.
CITY STATE ) <. /I /1 4 ZIP 4 rr
PHONE: g?.-, s,- S'3 _ NEW EXISTING`:
PLUMBER: (3 0„u "..t7 4 $. 44'
ADDRESS: - 1 AGREE TO COMPLY WITH CITY OF
CITY, STATE ZIP
EAGAN 3ROlINANCES:
PHONE
OWNER: !af T A 04J 4 t1vG,
ADDRE 3 ? 7 ' At 1 G sV /lt- t }: q
_ SKINATURE WHEN R 'ISSUE S
CITY, STATE ,: 1164 2IP
PHONE:
fed? ..45` ..ff�� ;
PC ALL DAY ORM SEWER PERMITS, CONT*CT
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. CIT EA ' , , WATER SERVICE .PERMIT
379 ilof Knob loa PERMI NO
, Eagan, MN 5 T .
f Units
i Zoning: N o
=Owner ,-
73
F Address: �
' . Site Address:
i Plumber : `
Meter No.• Connection Charg
Size: = Account Depos
Reader No. .., . = Permit Feer k;?
As a ,
1 agree to comply lth the C ity -ofl �E1.gan ,_ Surcharge: ' '`
(
Ordinance
Reader
`3 = t .7 Misc. Charges
t�` ' f `° Total::
g � �" Date Paid:
Y "
Date_„of_. "Insp.:. Insp.:
CITY c ' `EAGAN WATEPERMIT R SERVICE PERMIT
3795. Pilot Knob_ Road NO
Ewa M 55122 DATE:
Zoning: No. of Units:
Owner
Address: 3' 7.3
Site Address: --
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 ag ree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges 7 /c91/4,--,f%. !'
f � Total:
BY Dote Paid:
Date of Insp.: Insp.:
j
CITY OF jAGAN SEWER SERVICE PERMIT
3795 Pilot Knob !too d PERMIT NO.:
Eagan; MN 5 DATE:
Zoning: No. of Units:
Owner: ° j,- r
Address: 3 77
Site Address: °. z : i I '. t + - ) is : 'I _
Plumber: : ' i,�Ft t f1 ; �t
1 agree to comply with the City of Eagan Connection Charge: ^ r
Ordinances. Account Deposit:
Permit Fee: t fir, .,,
BY -- Surcharge: �, .,.'
t r Misc. Charges
Date of dnsp.x -- r Total:
Insp.:
Date Paid:
���� ti
. CIT EA ' , , WATER SERVICE .PERMIT
379 ilof Knob loa PERMI NO
, Eagan, MN 5 T .
f Units
i Zoning: N o
=Owner ,-
73
F Address: �
' . Site Address:
i Plumber : `
Meter No.• Connection Charg
Size: = Account Depos
Reader No. .., . = Permit Feer k;?
As a ,
1 agree to comply lth the C ity -ofl �E1.gan ,_ Surcharge: ' '`
(
Ordinance
Reader
`3 = t .7 Misc. Charges
t�` ' f `° Total::
g � �" Date Paid:
Y "
Date_„of_. "Insp.:. Insp.:
CITY c ' `EAGAN WATEPERMIT R SERVICE PERMIT
3795. Pilot Knob_ Road NO
Ewa M 55122 DATE:
Zoning: No. of Units:
Owner
Address: 3' 7.3
Site Address: --
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 ag ree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges 7 /c91/4,--,f%. !'
f � Total:
BY Dote Paid:
Date of Insp.: Insp.:
j
CITY OF jAGAN SEWER SERVICE PERMIT
3795 Pilot Knob !too d PERMIT NO.:
Eagan; MN 5 DATE:
Zoning: No. of Units:
Owner: ° j,- r
Address: 3 77
Site Address: °. z : i I '. t + - ) is : 'I _
Plumber: : ' i,�Ft t f1 ; �t
1 agree to comply with the City of Eagan Connection Charge: ^ r
Ordinances. Account Deposit:
Permit Fee: t fir, .,,
BY -- Surcharge: �, .,.'
t r Misc. Charges
Date of dnsp.x -- r Total:
Insp.:
Date Paid:
���� ti
. CIT EA ' , , WATER SERVICE .PERMIT
379 ilof Knob loa PERMI NO
, Eagan, MN 5 T .
f Units
i Zoning: N o
=Owner ,-
73
F Address: �
' . Site Address:
i Plumber : `
Meter No.• Connection Charg
Size: = Account Depos
Reader No. .., . = Permit Feer k;?
As a ,
1 agree to comply lth the C ity -ofl �E1.gan ,_ Surcharge: ' '`
(
Ordinance
Reader
`3 = t .7 Misc. Charges
t�` ' f `° Total::
g � �" Date Paid:
Y "
Date_„of_. "Insp.:. Insp.:
CITY c ' `EAGAN WATEPERMIT R SERVICE PERMIT
3795. Pilot Knob_ Road NO
Ewa M 55122 DATE:
Zoning: No. of Units:
Owner
Address: 3' 7.3
Site Address: --
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 ag ree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges 7 /c91/4,--,f%. !'
f � Total:
BY Dote Paid:
Date of Insp.: Insp.:
j
CITY OF jAGAN SEWER SERVICE PERMIT
3795 Pilot Knob !too d PERMIT NO.:
Eagan; MN 5 DATE:
Zoning: No. of Units:
Owner: ° j,- r
Address: 3 77
Site Address: °. z : i I '. t + - ) is : 'I _
Plumber: : ' i,�Ft t f1 ; �t
1 agree to comply with the City of Eagan Connection Charge: ^ r
Ordinances. Account Deposit:
Permit Fee: t fir, .,,
BY -- Surcharge: �, .,.'
t r Misc. Charges
Date of dnsp.x -- r Total:
Insp.:
Date Paid: