2984 Burnside Ave - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: N.,,,, qc inn Number: 511
Billing Name : Eu'ene Sell Site Address: 298 hur,asida
Owner: sar::e Billing Address surer:
Plumber: Wlierke Trending and Gretsfeld Plumbing
Location of Connection Meter Size Connection Chg. _ --�- --
NOT CONVICTING NOW Meter No. __,_ Permit Fee 10.1)0 pd 12/9/70
SIGi 10 tTTILITY AGKEENENT Meter Reading Meter Dep.
,„c Meter Sealed: Yea Add'l Chg.
9 7' if ND Total Cbg.
1 7".."\
1
Inspected by
Date /v/9 /Z O
Building is a: Remarks:
Residence xoc
Multiple No. Units
Commercial
Industrial By:
Chief Inspector
Other
In consideration of the issue and delivery to of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota Coupty, Minnesota.
By: a ., " 't! ` �c!r -!
Welerke Trenching & Gretsfeld Plumbing
Please notify the above office when ready for inspection and connection.