3773 Dodd Rd CITY OF EAGAN 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:
I agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.• Insp.:
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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:
By — Misc. Charges:
Date of Insp.: _ Total:
Insp.• Dote Paid:
ADDRESS /v
LOT: BL:
- ADDITION:
TIME: 9J` cY
- - -- HYDROSTATIC TEST (OUTSIDE)
— — SPRINKLER TEST (INSIDE)
# TEST
—�`= APPROVED -- - -- -DENIED
(INSPECTOR NAME) •
•
FOR � �.
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