3285 Dodd Rd CITY OF EAGAN WATER 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:
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 ( Date Paid:
Date of Insp.: l i Insp..