1752 Flamingo Dr - Tie In Card a
OF EAGAN
379 Pilot Knob Rood WATER SERVICE PERMIT
E n. MN 55122 PERMIT NO.: 1 3F 3
Zo g; DATE:
Owner: No. of Unit _ ►fpyho1
Address:
Site Address:
Plumbers .. : . - a — M i i • o rive
Meter h 'r •
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' 1 Size: Connection Charge: ge:
Reader No.: Account Deposit:
Permit Fee. 10.00 pd
t . 1 agree to comply with the Village of Eagan Surcharge. 50
` pd
t
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Misc. Charges: 1
1 Ordinances.
By Total:
Date of Insp.: Date Paid:
Insp.
DESCRIPTIODruir orw—A.-ft4
Industrial Commercial Residential Multip
Location of Connections: C.
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