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3150B Farnum Dr CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road Pt 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- "110- ,,' Surcharge: By ' M isc. Charges: Date of Insp.: � /r � Total: Insp.• Date Paid: 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: 1 agree to comply with the City of Eagan Surcharge: Ordinances. i wit Misc. Charges: _ Total: By 3 �� Date Paid: Date of Insp.: Insp.: