1862 Carnelian Lane - Tie In Card 1 -4-7
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date• R� �� io��
Number• t3Llw
Billing Name:f j r r l u t rnn<• }- Cn
Site Address:
Owner: d jar Crnva ('nn1t r nv Billing Address aj 1 r ri u F'_
Plumber: « a vi hinn
Connection Chg.
Meter Size"
�. , r 5/25/'
Location of Connection --- --•- --
Meter No. Permit Fee_______? =:a.,Faa 25/'
.50 l� 5
Meter Readit _ Meter
Meter Sealed: Yea_ Add'l Chg.
NO Total Chg.
\ ..17k 32
inspected by
%1I►��..r� Date
Building is a: Remarks:
Residence v 1 ` i � i uR
Multiple No. units IMPROPERLY U1STALLED METERS.
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• Cesar Grove Construction Comnanv
Please notify the above office when ready for inspection and connection.