2910 Burnside Ave - Tie In Card EAGAN TOWNSHIP
`�1 St37Paul, lMinnesotap55111
Telephone 454 -5242
PERMIT POR WATER SERVICE CONNECTION
I Sarch 27, 1972 Number: 797
Date: Ea ren '' >'S121
Billing Name•
Joraaa H. Johnson Site Address: 2910 Burnside Ave_
Owner:
aaur ■ Billing Address
Plumber:
Weier+ke Trenohing & >Scoavating
Meter Size -5', Connection Chg.
... , ... 3/27/7
Location of Connection a 4 ✓ 00 --.../.,.....„ Neter No;- 'G�./�a. Permit Fee , s/1Ji-,
Meter Reading_____. 15:0 Pd 3/27/72 Meter Dep.
47/0 Meter Sealed: Yea_, Add'1 Chg.s___,.. —..�
r ' NO Total Chg•_.�__ -- --
Inspected by
-" Da t a 1 M 7 z
Building is a: Remarks:
Residence 7OC,• =- ' PP J 1 ERIY 11 , litS1NLLED METE
Multiple No. Units �Iti
Commercial_____
Industrial____ By' Chief Inspector
r^
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 Began Township, Dakota Cou�ty/, c- . .. ,
Bye r Cr., / tom d�P
Please notify the above office when ready for inspection and connection.