1264 Birch Pt OF CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot. Knob Road
P.O. Box 21199 PERMIT NO.•
Eagan, MN 55121 DATE:
Zoning: _ No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Render No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Ins : "tp 7 � 61 " (4. In
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CITY ciF EAGAN SEWER SERVICE PERMIT
3830. Pilot Knob Road
P: f). Box 21199 PERMIT NO.•
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
I agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
B Misc. Chorges:
Date of Insp.: Total:
Insp.: Date Paid: