2930 Burnside Ave - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
8t. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: December 9, 1970 Number: xii:i 512
Billing Name: James W. Fischer Site Address: 2930 Burnside, St. Paul 55118
Owner: same Billing Address same
Plumber: same
Location of Connection Meter Size Connection Chg.
SIGNED UTILITY AGREEMENT • Meter No. Permit Fee 10.00 pd 12/9/70
NOT HOOKING UP YET. Meter Reading Meter Dep.
Meter Sealed: Yeah Add'l Chg.
9 NO Total Chg.
9 z
Inspected by (/
Date / t/ D
Building is a: Remarks:
Residence sacs
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. f f
l James W. Fischer
Please notify the above office when ready for inspection and connection.