3690 Blackhawk Rd - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Seot.tiler 23, 1970 Number: 470
Billing Name: Gacxga Yelsou Site Address: 3t v0 b1sC -w,k .:oaJ,3t. Paul 55111
Owner: %urge raison Billing Address:1 "U ill: cl... t: I to 4, St. Paul 55111
Plumber: U.er.l 1luwbing d H4::.tiu4, Inc.
Location of Co . ction Meter Size Connection Chg.2 +. %. 5/22/70
t a c 1 1.n 3 1'i,bU p3 9/22/70
7 Meter No. Permit Fee 10 .W p4 9/23/70
Meter Reading Meter Dep.
c Meter Sealed: Yea Add'' Chg.
*" NO Total Chg.
2 � `1 _ 14 Inspected by /�
V P..e.dis L Date
Building is a: Remarks:
Residence
a'r } re - u, It, t
Multiple No. Units L.,i "?C, / 1.J Fit
Commercial
Industrial By:
Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tt,e proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By: _• - a�
i tu4�l rl.«u iug 6 ilua;tica , £1 .
Please notify the above office when ready for inspection and connection.