4091 Halite Lane - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: 3u -t 20, 1371 Number: 690
yo9 4Z�
Billing Name: Cedar Crow,. c Site Address: _ - 0 ei,.. c ,•,:, 4 7 -10 -7
Owner: sane Billing Addreas7 t en iin - a : , •.,+ r
Plumber: Stein, Inc.
•
Location of Connection Meter Size Connection Chg. 's; r,.0 0 na 8/30/71
Meter No. Permit Fee 0.00 pd 8/30/7
L .7J 17 1 6 /3u /7 i
= Meter Reading Meter Dep.
Meter Sealed: Yea Add'l Chg.
4 7 -4 5-4 S+ NO ^ Total Chg.
Inspected by V
C law Date t ''/`?I
Building is a: Remarks:
Residence QXXX
Multiple No. Units E I•! ^P` E
25.00 Rc �;�, CT;0dI r FOR
Commercial
IMPROPERLY INSTALLED METERS.
Industrial By:
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By: C.iur Drove Conatructim Coa:any
Please notify the above office when ready for inapection and connection.