1613B Clemson Dr CITY OF EAOAN WATER SERVICE PERMIT
3830 Pilot Knob Road..
P.O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: 2 r
Zoning: — No. of Units:
Owner: —
Address: --
Site Addess: — r T.4 R7 T�
Plumber:
Meter No.: Connection Charge:
Size: — Account Deposit:
Reader No.: Permit Fee:
I agree to comply with the City of Eagan Surcharge: --
Ordinances. Misc. Charges:
Total:
By L / /5 P) Date Paid:
Date of Insp.. J a ° - Insp.:
CITY OF EAGAN SEWER 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:
I agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
B Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
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