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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 ENG R , . Nj .A R SE II TIRED %MEN PERMIT IS ROCES SED Y' , t A D DI flOi y f ;r . gi a 6g :DER t a " , f' ) H 4 ry A4 ` ' . ate � � _ c ED MCI MMII�Ai�jM1 ; F x �. � ' E � i k ���� 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: ���� 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: