1855 Carnelian Lane - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
• Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION 16-2-7
Date: ('),I)(11 Number: 11
ti
Billing Name. A\ t'- 1•4? . <ti 'Site Address :IR A_ ,'I \ r \, .t
Owner: A ( • \ N Billing Address i V-I `11 z ��CL C..
'
Location of Connection Meter Size Connection Chg.31)0,00 , ?2
Meter No. Permit Fee 70.0 «i' 7/3/72
. i >U la 7/3; 72
Meter Reading__ Meter Dep.
/ Meter Sealed: Yea_ Add'l Chg.
•L9\ NO Total Chg.
•I Inspected by
fiAr* cr.L'v 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.
a
By: \. i t -+ �
Please notify the above office when ready for inspection and connection.