1771 Bluestone Dr E - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION "
Date: ,-// 7
/74 Number: 413
'
Billing Name: Site Address: ,' I
Owner: - ?�- m'; { .�� <. (, , . . 1. Billing Address , L
Plumber, '_;ri
Location of Connection Meter Size Connection Chg. ' 0.0 . t;1 3/17/70
Meter No. Permit Fee 10.0 4i 3/17/70
Meter Reading Meter Dep.
Meter Sealed: Yes Add'l Chg.
$( \ NO Total Chg.
Inspected by -L....e4
ups o Date N 7 p
Building is a: Remarks:
Residence xx
Multiple No. Unite
Commercial
Industrial By:
Other Chief Inspector
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.
Please notify the above office when ready for inspection and connection.