3910 Blackhawk Rd - Tie In Card
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: October 16, 1969 Number: 367
Billing Name: William R. Sell Site Address: 3910 M uckhawk 13oad
owner: William R. Sell Billing Address
plumber: ianzal Plumbing k heating, moo.
Location of Connection Meter Size Connection Chg. t r 10/16/69
ACCt. Dep. j. 14 10/16/69.
Meter No. Permit Fee 7•50 T)d 10/22/69
Meter Reading Meter Dep.
Meter Sealed: Yes Add'1 Chg.
h NO_ Total Chg.
C r f
Inspected by
Date
Building is a: Remarks:
Residence xx
Multiple No. Units
Commercial
Industrial By: Chief Inspector
Other
in consideration of the issue and delivery to we 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:
Wenzel Plumbing F fieatinpT, lno.
lawnea T id., 'ail 1J
Please notify the above office when ready for inspection and connection.