1786 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: 10 - - 70 Number: ;«
Billing Name: Cedar Grove Canal. Co. Site Address: 1700 B1ucut 8'94
Owner: Same Billing Address 7i 3 Concord ol.v.1. 1.
South S.ict ?mat
Plumber: stein, Inc. 1liuneeota- 53u79
Location of Connection Meter Size Connection Chg. .' -.i3 ud 10/7/70
Meter No. Permit Fee 1u. J0 ud 40/7/70
11 G Meter Reading Meter Dep.
Meter Sealed: Yea Add'l Chg.
3 / .� 7 P NO Total Chg.
Inspected by / 70
Date �7
Building is a: Remarks:
Residence xxx
Multiple No. Units
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.
By Cedar Grove Construction Company
Please "notify the above office when ready for inspection and connection.