1738 Flamingo Dr - Tie In Card W ATER SERVICE 6 PERMIT VILLAGE OF Knob Rood PERMIT NO.:
3795 /dot Knob Rood DATE: I ,�.� ; �uSPs
Eagonr MN 55122 No. of Units: 2 ,
1
ZO1 � 'g �Ni?,nito
Owner:
Address: j • ivy
Site Address: �� ,
• i _ Connection Charge:
Plumber: •' • "
Meter No.:
Account Deposit to + CC Pa
Size: Permit Fee: 50 1?� •
Reader No.: Village a Eagan Surcharge-
1 with the misc. Charges: I
1 agree to comply
Ordinances. Total:
Date Paid:
By Insp.: BOOING
Date Date of Insp.: DESCRIPTION OF
R
Multi?
Industrial Commercial
, 1111111111111.11
Location of Connections:
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