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1305 Cliff Rd DIP/ OF E \ GAN 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: Reader No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By . C am ` `/ L i3 P Date Paid: Date of Insp.. Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road PERMIT NO.: P.O. Box 21199 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 Surcharge: Fee: By Misc. Charges: Date of Insp. Total: Insp.: Date Paid: • /,3a4' C. i f- Or - j }444 , 1 7 ---- .3fr ic lit 6