1053 Beatrice St - Tie In Card EAGlN TOWNSHIP .7 2eA 1,74e._‘""
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Omit. 27. 1957 Number: 19
Billing Name: Ervin Miolke Site Address: 1051 3u+atrira Rt_. St_ Paul 5511:
Owner: above Billing Address above
Plumber :,b€., 1 R C ror..0 ,
Location of Connection Meter Size 5/8' Connection Chg.,.12G0.00 Pd. 10/27
Meter No. 67 Permit Fee
/ Meter Readiu J — Meter Dep. 1� �0
J Meter Sealed: Yea Add'l Chg.
s
vgaw NO Total Chg.
35 3G� j1_,.1
y K Inspected by (2:
Dat 1if,.0.
Building is a: Remarks: P C.
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 Coun , Minnesgt
By:
Please notify the above office when ready for inspection and connection.