1437 Balsam St - Tie In Card EAGAN TOWNSHIP
3795 Pi1Mi eSOtao551.11.
St
t Yaul
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: � 24 1971
Number:
Billing Name:
lilueu Ccuat ructicn Site Address: lw�/ ralzaa
Billing Address
Owner:
Plumber: Luneken Exc vutirt Cu.
�: oo � >d Jz =+17
Meter Siza Connection Chg. --
Location of Connection y 7i
Meter No. Permit Fee '`• 71 s/c
Mater Reading Meter
Meter Sealed: Sealed: Yes Add'1
.3 Z NO_____ Total Chg•_._._ ----
Inspected by
Date
Building is a:
Remarks:
$25.00 REINSPECTION FEE FOR
Residence_ IMPROPERLY INSTALLED METERS.
Multiple _ No. Onus
Commercial
Industrial
By; Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, I
agree
to do tle proposed work in accordance sith.ththe rule and
regulations B lations of Eagan Township, Dakota County, Mine r,..
u _..__....- l
Lu al:cit E.c a- v�;titur C"
Please notify the above office when ready for inspection and connection.