1823 Carnelian Lane - Tie In Card :SAN TOWNSHIP
'�• 3795 1, Pilot
Minnesota Knob
o
St. Pau 551.11
Paul, 5242
Telephone 454
PERMIT TOR WATER SERVICE CONNECTION
Number: 4 � +3
Date: 7 (
Site gddresa
tr,nst.
C 2
Billing Name: cedar c, m,kr dress 7.� ,
Billing Ad ;,uuclti c. 2.t4.1 DWner: 1i,;me
< Plumber: atiauau +aid i >J7? +'
.�o n d 7/13/7
Meter Size,......... Connection Chg. �--
10. 00 t 7/13/
Location of Connection Meter
Pee___„.:_._ ∎ —
L_._. Meter No...,
Meter (teadi ° -Q_- --
Meter Dep. . ---∎
3‘ Meter Sealed:
Yes__, Adel Chg. —�
CA No _ Total Chg•_,____..___ –___
Inspected by
Date
• Remarks:
Building is a:
x'4"3‘ Residence
Multiple _ No. Units
Commercial
Industrial , _
By: Chief Inspector
Other__________
In consideration agree of the issue and delivery to ne
of the above Pe lt, I
agree to do the propose work in accordance $ i h the rules and
regulations g ulations of Eagan Township, Dakota County, Minne
By: CEpAR GROVE CONSTRUCTION COtSY?t�
Please
notify the above office when ready for inspection and connection.