3926 Calcite Dr - Tie In Card
EAGAN TOWNSHIP
3795 Pilot Knob Road
St, Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: _ Number: X57
Billing Name: Site Address://,-1-4
Owner: . Billing Address
Plumber: n tr
Location of Connection Meter Size Connection Chg. 00.00 od.
C, r Meter No, Permit Fee 7.1~u pd.
y Meter Reading _ Meter Dep.
Meter Sealed: Yea- Add'l Chg.
~j IR Total Chg.
~f S
Inspected by
Date
Building is a: Remarks:
Residence
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 Count MimeIota.
By:
Please notify the above office when ready for inspection and connection.