1771 Carnelian Lane - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Number: 1089
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Billing Name A ��r n i `� f X ri` "its Address: / r / / � �1 al
Owner: 11
Billing Address i "n(C'R / / 0 u
C
Location. of Connection Meter Size.._
Connection Chg. es.sm • 12/18/72
Permit Fee 10.00 pd 12/18/7
Meter No. --�' ;�'p�l'!"/1�/7
Meter Reading____ Meter
10 j. Meter Sealed: Yea_ Add'I
y 3
Total • Chg. _
Inspected by
Date s �. T
Building is a: Remarks:
Residence
Multiple No. Unite
Commercial ` rrr St .. 1, 1,
Industrial B y' Chief Inspector
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
hi Dakota County ,Minnesota.
regulations of Eagan Towers P, \:4-P By: C - ` I
Please notify the above office when ready for inspection and connection.