1041 Beatrice St - Tie In Card
RAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242' Q
PERMIT FOR WATER SERVICE CONNECTION ~C
Date. - 7- 6j Number: 28
Billing Name:iC 0,41., L a.Sod Site Address: /0*// &4re,ce
Owner: Billing Address SfM,:
Plumber:aky16A- or 'o4 „r.,4
Location of Connection Meter Size VAO Connection Chg. 190()-n o Pd.11/6
Meter No.G 132 4;-j o Permit Fee 7.5o Pd 11/7
Meter ReadiaFL Meter Dep. 15.00 Pd 11/
Meter Sealed: Yes_ Add'l Chg. 3g'l NO Total Chg. 4222.50
l)NAli10,1, 1
Inspected by
Date L
Building is a: Remarks': Q
Reaidance-A- r
Multiple No. Unite
Commercial
Industrial By:
Chief Inspector
Other
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:~
Plea:re notify the above office when ready for inspection and connection.