1775 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: Number: J6 d 7
Billing Name: Site Address:
Owner.' Billing Address
Plumber:
Location of Connection Meter Size Connection Chg. /7'?/(iJ
Mater No. Permit Fee /1'I/7
Meter Readin&_ Meter Dep.
Meter Sealed: Yes_ Add'1 Chg.
NO Total Chg.
M
Inspected by
Date
Building is a: Remarks:
Residence
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.
B f
Please notify the above office when ready for inspection and connection.