1824 Carnelian Lane - Tie In Card EACAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
■..., �.ii PERMIT FOR WATER SERVICE CONNECTION 20`S -
Date. , ;
1-. (11'7,-:).. Number: a84
Billing Name I C'N ‘e Site Address:/ C 4 . i .(\ (t t, f.,.
Owner: L t!,Q 1 1 t ,\„ l h:A (7 _Q v 1 _ Billi ddress f / :?■ l 1 `, `f^a+ Jr() i 'i{S,.% (r,
Plumber: )2- l- i ..tom ��X i i i\ i■ e rt3
Location of Connection Meter Size Connection Chg.300.00 1x1 7/3/72
:3(e" Meter No. Permit Fee 10.00 Td 7/3/72
Meter Readinp Meter Dep. .50 7/3/72
Meter Sealed: Yes Add'', Chg.
37* NO Total Chg.
4/ Inspected by
'il 4 /tai/r4f Il/ Date
Building is a: Remarks:
Residence xx
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 County, Minnesota.
t
Please notify the above office when ready for inspection and connection.