3140B Farnum Dr CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.:
Eagan, MN 55122 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: -
Oft
Total:
By �� ��� ��" Date Paid:
Date of In p.• Insp.•
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot 'Knob Road
Eaga MN 55122 PERMIT NO .;
Zoning: DATE:
Owner: No. of Units:
Address:
Site Address: _____ �— —
Plumber: _ --
_
1 agree to comply with the City y ty of Eagan Connection Charge:
Ordinances.
Account Deposit:
Permit Fee:
By Surcharge;
D Misc. Charges:
Dote of Ins
p.:
Insp.: Total
Dote Paid: