3804 Willow Way - Tie In Card :.EAGAN ° SEWER SERVICE PERMIT
`,, , Knob Road 621
#±� 0. 21199 PERMIT NO.:
-Egan, R(IN . 55121 DATE: 1
zoning: 8,4 . o. o 'nits: or 4pleX
Owner. T. e son B14r5
Address:
Site Address: 3404 Willow Way .,I* 81 Briair Hill 4th
Plumber: G
1 3-83 389(1 I-II
1 agree to comply t h tire City of Eagan Connection Change: 425 Pd
Ordinances. Account Deposit.
0.00 ..
Surcharge:
BY - -AO" Misc. Cho :
Date of / asp.. J• Total: , C:.,
Insp.: 4 r Date Paid: