1050 Beatrice St - Tie In Card
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PER14IIT FOR WATER SERVICE CONNECTION
Date: Peb. 200 1968 Number: 67
Billing Name: flirt BDOhn Site Address: 1050 BOatrioa St.
Owner: above Billing Address above
Plumber: An it"te :lbg.
Location of Connection Meter Size r Connection Chg.-M-00 d 2/20
Meter No. 673 L 5 Permit Fee •5O - e
Meter ReadinS Meter Dep. 15.00
S Meter Sealed: Yes_ Add'l Chg.
~ NO Total Chg. 222.50 Pd.
4
Inspected byr ~ _
Date
Building is a: Remarks: G
Residence Y
Multiple No. Units
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 Sagan Township, Dakota County, Minnesota.
By:
Please notify the above office when ready for inspection and connection.