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1095 Sycamore Dr CITY OF`EAGAN WATER SERVICE PERMIT 3795 Not Knob Road PERMIT NO.: Ea gel, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By �. ..- •. a Paid: Date of Insp.: iff Insp.: CITY OF' EAGAN SEWER 3 ERVIC - PERM lt .__ 3795 Pilot Knob Rood Eag"n, MN 55122 PERMIT NO.. Zoning: DATE: Owner. No. of Units. • Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: By Surcharge- . Date of Insp.: M isc. Charges: Insp.: Total: Dote Pa