530 Chapel Lane - Tie In Card
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT POR WATER SERVICE CONNECTION
Date: 5-f,-71 Number: 6n
Billing Name: Larl J. t,oe Site Address: ° lug., ;,l -A21
Owner: ,same Billing Address
Plumber: same
Location of Connection Meter Size Connection Chg.: j i71
Meter No. 11 Jk 2 Permit Fee 10.G: ns /'/71
R. ~.0,sr=
Meter Readi Ong nj;n Meter Dep. l5.oo r 5/F;/71
Meter Sealed: Ye d-1 Chg.
NO Total Chg.
916' 9~ 6
Inspected by
Date 7
Building is a: Remarks:
Residence )cc
Multiple No, units $25.00 RE-INSPECTION FEE FOR
Commercial IMPROPERLY INSTALLED tv'.HERS;
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.
By:
Please notify the above office when ready for inspection and connection.