1552 Quarry Rd Use BLUE or BLACK Ink
1
For Office Use
PerPermit* I '110City of Eapn �
Permit Fee: i„)-
a
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
Fax:(651)675-5694
Staff:
J
2017 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING COMMERCIAL PROPERTY
Date: �o 3 -`� l S l..X i s 1 - F E ;
` 1PRV required
v
Property Owner: `r^+ k L-' ` f o
City Rio0=W Permit
Address: N tu1\44- q_\1 t4 OPhone Number: le I a-711-5a / enlintv p
ermtt
Plumber: nn;nn.(3 Uk%\\ `x;F 4tr,.,41, Contact Name: (2-+ lt\c.k.c i" ".,_Plumbing Permit
SEWER WATER.
Sewer Service Water Service
Sewer lateral charge Water lateral charge
Sewer trunk Water trunk
City SAC @$110/unit Water supply storage
MCES SAC @$2,485/unit Receipt#: ,Date:
Receipt#: ,Date: Treatment Plant @$891.80/unit
Permit Fee,including State Surcharge $65.00 Permit Fee,Including State Surcharge $65.00
TOTAL: *Plumbing Permit Required—water meter to be
acquired with building permit TOTAL:
SEWER&WATER
Sewer Service
rn�� U\-\,\‘\e5 Water Service
P Sewer lateral charge
lr CO`v Water lateral charge
Sewer trunk
Water trunk
Q l-o - 1('¢_ City SAC
MCES SAC
Lt
C) , 1 Receipt# Date
Water supply&storage
�J CPT �� �p �A e� Receipt# ,Date
1 *---Loc I Treatment plant
` Permit Fee,including State Surcharge $129.00
*Plumbing 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.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email
update on the City's website at www.citvofeaqan.com/subscribe.
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