1750 Flamingo Dr - Tie In Card VIL GE OF EAGAN
379 Pilot Knob Road WATER
Ea n, MN SERVICE PERMIT
5512? PERMIT NO.:
I; Z o .ng: DATE:
.1 Owner: No. of U
* Address: nits: • bavri
f Site Address:
Plumber•.. = 't : • • Drive
• �/ . Meter No.: .. • , .. • 4.,
t Size:
i, Connection Char
Reader No.: Account D ge:
eposit:
1 agree to comply with the Villa Permit Fee: 1Q, pp
I, ` I agree to
Misc. Villag of Eagan Surcharge: d
ge:
+ ser Char e • 5Q pd
By g s: I
Total:
Date ofInsp.; Date Paid:
In sp..
DESC krPTI N Er.tu xr.4
Industrial Commercial Residential Multip
IIIIIIIIIIIIIIIIIIIINlalIll
Location of Connections: C.
fb
P :,
1 St
In
Da
Re