3737 Blackhawk Rd - Tie In Card
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
u,n::cc 121970 Number:
Date:
Billing Home:Parreaco Bros. Site Address. 1 ;i
Billing Address
owner: r,•
Plumber :•11' 1~~ 11l`:t1 a:' 131C.
Location of Connection Meter Size 5 3 Connection Chg. Meter .G 1 625 Permit Fee_ l_,) '13!70
Meter Reading`LLL2u Meter Dep.
Meter Sealed: Yea Add '1 Chg.
11~ No Total Chg.
33 Inspected by /-y- 7
Date
Building is a: Remarks:
Residence 1
Multiple No. Units
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:
W4."Zdl Ylw win :tic :tin; , luc.
Please notify the above office when ready for inspection and connection.