4346 Kaufmanis Way ', �. h - WATER SERVICE; PERMIT
s :' ` o' t ' K n o b Ro PERMIT NO.: ` • x u
Eagan, SIN 55122 DATE: _�� , . q
nin c4`, No. of Units: -I r
Owner _' " .1- = t .i 14 ° ;f `, 4 r A _ a
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Address:
Site Address '� r 4 •- `
Plumber:�_
Me No Co nnection Charge: r.;, R3
=Size: Account Deposit: 1
Permit Fee: 9'=° lx't
Reader- N6.: ,
I agree t o' c o m ply • w it h the Cityof Eagan Surcharge: a "' A
Ordinon c Misc. Charges > • . t ^� . 1 „,
Total:
gy Dote Poid:
D ate of I nsp.: /0 / p 7 .. B/,''
z C Tyr OF EAG SE SERVICE PERMIT "
X ?5*P t Knob Road' ' & s r PERMIT NO. . t v r g o�i ; MN 55122 DATE:
Zatting: r No. of Units:
'.Owner: , r f''.., 4 °c . I �€ ,n t ' r --- "..3.o a,
Address:
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Site A ddress. c .. .. - ... ...:' 1 1..; ,, . 1 r . =
Plumber:
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1 agree to comply with the City of Eagan Connection Charge. , ", _ ° 3L'�
Ordinances. Acco Deposit:
Perm Fee ‘ rn Pti
Surchorg : t _ - I -
gy ' Misc. C i
Date o I nsp.: r ' Tot al: I
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Insp•: . t- y r ' ` "--Date P aid: