3944 Blackhawk Cir - Tie In Card
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Number: 1711 _
g site Address
Billing Name•
Owners Billing Address
Plumber:
Meter Size Connection Chg.. 2/'3/73
Location of Connection
Permit Fee 7:.^) T;'- t?~f72
Meter No,~, V7,
Meter Reading„ Meter Dep.
3 Meter Sealed: Yea Ad d'1 Chg.
No Total Chg.
y~z
Inspected by
Date
Building is a: Remarks:
Residence
Multiple Y No. Units $25.00 REANSPEMON FEE FOR
Commercial IMPROPERLi' if,13TALL70 CiEiE;S.
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:
Ste:ln' n
Please notify the above office when ready for inspection and connection.