1843 Carnelian Lane - Tie In Card EAGIN TOWNSHIP
3795 Pilot Mob Goad
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: flrfnhar 1a, 1969 Number:
Billing Namepariar Rrmra rnn�+L_ rn Site Address:1Ra3 rwrnalian In 15 -2 -7
Owner: Fader Crnva rnnat. rn_ Billing Address 7141 rnnrnrri R1 ri_ F
Plumber: 4+ain, Inc.
Location of Connection Meter Size Connection Chg. pd 10/16/69
731 5 // Meter No. Permit Fee 7•50 pd 10/16/69
Meter Reading,_ Meter Dep.
Meter Sealed: Yes Add'l Chg.
NO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence xx
Multiple No. Units
Commercial
Industrial By:
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
regulations of Eagan Township, Dakota County, Minnesota.
By:
Please notify the above office when ready for inspection and connection.