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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