1870 Carnelian Lane - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road ,9 7�
St. Paul, Minnesota 55111 5 .
Telephone 454 -5242 u
PERMIT FOR WATER SERVICE CONNECTION 7 uJ
, 9
Date 11 �Nv Number: 4b5 `�
Billing Name•� \>( . f} \ f.I1 Address: 7� / � ! _ .
Owner: 1 1
S 162_ Billing Address "7 f L SL JSI Ld
Plumber:, ` C' ( 4'1 Ohl h1 a (: V/
• -... •• 9/
Meter Size Connection
Location of Connection �"'�" 16400 pd 9/19/72
Metes Permit Fee 19/72 a/o
Meter Readinp Meter Dep.
Meter Sealed: Yes Add'1 Chg.
NO Total Cbg
3
3 Inspected by
Date ,�— as 7
Building is a: Remarks:
Residence xx $25.40 RE- INSECT {ON FEE FOR
Multiple No. Units )II Q ERLY INSTALLED METERS.
Commercial
Industrial Chief Inspector
Other
In consideration of the issue and delivery to 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. /-\
B
?)Cs.
Please notify the above office when ready for inspection and connection.