1042 Beatrice St - Tie In Card
EACF.N TOWNSHIP i71 ~~Y{ c tr
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date 4. 1e Number: 64
Billing Name Awthur E rw*+ Site Address: 1e DeaLri.os St.
Owner: Billing Address .
Plumber*. e: .tau P ba.
Location of Connection Meter Size - Connection Chg. 9
Meter No. Permit Fees
Meter Reading- Meter Dep. 1~~--
Meter sealed: Yes_ Add II Chg.
fdiiiNJ! ~-d+
No Total Chg..,
Inspected by / ✓ti`
Date o~ ~a 0 S Q Gi~➢ Y4T~
Building is a: Remarks.` U ` " w~R r p
y od. wnanaewrt 6rf Yu
Residence Y
Maltiple No. units
Commercial
Industrial By: Chief 7.nspector
Other
In consideration of the issue and delivery to me of the above permit. I
hereby agree to do tie proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Please notify the above office when ready for inspection and connection.