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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..