3635 Blackhawk Rd - Tie In Card EACAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: t: 23. 100 Number: -��
Billing Name: u...--d Cr.16. Site Address: s
Owner: Billing Address
Plumber: ... _ i ..:i,i
. -=
Location of Connection Meter Size Connection Chg. ' ) yd 11/20/70
hi ....ii Gip, lS,vJ e 4 11/20/70
Meter No. , ol<s Permit Fee lt.t r _ 1 11/,..1/70
uvJ
Meter Reading Meter Dep.
Meter Sealed: Yea Add'L Chg.
3f� NO Total Chg.
y9�
Inspected by
13LRc- Heiutik Date /1/ i 3/7 21
Building is a: Remarks:
Residence-"
$25 C
Multiple No. Units
RE 11S :LT :
Iprt )3 •E7LY INS' ALLLD METERS.
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 Eagan Township, Dakota County, Minnesota.
By:
`v.'t;ra3:i1 elwwblu;; S i a: itit ; teiC.
1955 Shuwr:�a oaJ, a't. Pa:cl 59111
Please notify the above office when ready for inspection and connection.