1062 Beatrice St - Tie In Card
i
FAUN TOM'SRRIP
3795 pilot Knob Road lc Yc
St. Paul, Minn 52455111
Telephone
pERR~II.T FOR WATER SERVICE CONNECTION
Number:
Date•~~~- 1062 Baatrioa Street
Site Address
Billing Name:
Billing Addsesa Same
Owner:
Plumber: D,JD
Meter size Connection Chg. 3LD
Location of Connection Permit
Mater No.LaL Fear=-----
e~ a o
Meter ReadinngL- Meter Dep.~m..
Meter Sealed: Yea? Add'l Chg.~~~-----
ll »%f. Lord NO Total ChB•~
f 30` UtND.
\ Inspected by
O &_,e < N Data /V
Remarks:
Building is a:
Residence
Multiple _ No. Units
commercial, Inspector
By: Chief Industrial,
Other
,
of the issue and delivery to ma of the above and
tion I
In considers prof osed work in accordance sosa• the rules es an
hereby agree to dotn ppof Township, Dakota County. Minna
regulations of Saga
By.
Plaase notify the above office when ready for inspection and connection.