3720 Blackhawk Rd - Tie In Card °`ate i •
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT POR WATER SERVICE CONNECTION
Date:
Juea 20, 1972 Number: u75
Billing Name: Braco Htnu`r Site Address: 3720 b. "1,4"44L :a , t 55
Owner: Liar: Billing Address
Plumber: eanae1 Ylua:oin" & F,4=ting Inc.
Location of Connection Meter Siae
Connection Chg. JO.uQi Al 7/11/72
Permit Fee 10,00 pd 6/:'3/72
Meter No.
�o ,4,u p3 u /�'li/72
Meter Readink Mater Dep.
Meter Sealed: Yea_ Add'l Chg.
y / 2-- NO Total Chg.
Inspected Q
Date �7 - 'r., v
Building is a: Remarks:
Residence
Multiple No. units �� e ? ';t;01i , _'- FOR
Commercial �., Pr !°
Industrial By: MN i`i��f ":�`' -J ; :ZER$.
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:
Iac al Yl ou3n� heating Isla.
Please notify the above office when ready for inspection and connection.