4500 Cinnamon Ridge Tr ��' Use BLUE or BLACK Ink
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I For Office Use �
• � Permit#: � �/�`�L �
City of ����� � �-�c�
I Permit Fee: �
3830 Pilot Knob Road �
Eagan MN 55122 �
Phone: (651)675-5675 i Date Received: �
Fax: (651)675-5694 � �
� Staff: i
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2015 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING COMMERCIAL PROPERTY
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Property Owner: � ��Gc_ � � �� �1�--S ��
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Plumber: ' Contact Name: ��.,,f��...��- „ �$�����p
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, Sewer Service Water Service
Sewer lateral charge Water lateral charge
Sewer trunk Water trunk
City SAC @$100/unit Water Sampling Fee
MCES SAC @$2,485/unit Water supply storage
Receipt#: , Date: Receipt#: , Date:
Permit Fee $60.00 Treatment Plant @$843.50/unit
State Surcharge $5.00 Permit Fee $60.00
TOTAL: State Surcharge $5.00
' *Plumbing Permit Required—water meter to be
' acquired with building permit TOTAL:
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Sewer Service
Water Service
Sewer lateral charge
Water lateral charge
Sewer trunk
Water trunk
' Water Sampling Fee
City SAC
MCES SAC
Receipt# , Date
Water supply&storage
Receipt# , Date
Treatment plant
Permit Fee $120.00
State Surcharge $5.00
�P/umbing Permit Required—water meter to be
, acquired with building permit TOTAL:
Number of SAC units is determined by the Metropolitan Council Environmental Services (651)602-1000.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
Cc: City of Eagan Finance Department