1038 Beatrice St - Tie In Card
EWAN TOWNSHIP
3795 Pilot Knob Road ~.y~.
St, Paul, Minnesota 55111 471 41~ f z`
Telephone 454.5242
PERMIT FOR WATER SERVICE CONNECTION
Dater
Number: 49
Billing Name: Earle R Blaokt.y Site Address: 10
_~8 Heatrioe Streot
Owner, , 0 Billing Address Same
Plumber: All State
Location of Connection Meter Size
Connection Chg, ~;~Qa'-pd.
Meter No, 7~ 2 Permit Fee
Meter NReadi o ) g '1/4
S /iU _ Meter Dep. $15.00 Pd
Meter Sealed: Yea _ Add 'l
head Total Chg.
__-~.r.~` L_
]Inspect ed by~
Date /6_7
Building is a: Remarks: lf~l
Residence X
Multiple No, units
Commercial
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:
pL_
Please notify the above office when ready for inspection and connection.