1810 Diffley Rd CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE: —_
Zoning: __ — No. of Units: _
Owner:
Address: ALLE310 k)14
Site Address' neb
Plumber:
Meter No.: _- Connection Charge: _.
Size: —_ Account Deposit:
Reader No.: Permit Fee:
agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Y , f / U ) Total:
By Date Paid:
Date of Insp.: Insp.: