555 Chapel Lane - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: ,,.:,. G, 1 Number: �c7
Billing Name: til D na1d Tiet,ien Site Address: °S °iti CL . ., 1 r an ' 5121
Owner: same Billing Address r„ua.
Plumber: 9,-r s et.ian
Location of Connection Meter Sizer /: Connection Chg. 15/71
113 4548 ter
Re; C : Pr No. n ; -' - Permit Fee t r,, ,n 1 /5/71
Meter Reading Meter Dep. 1 .ir1 d ':/5/71 r, 5/5/71
Meter Sealed: Yea_ Add'). Chg.
3y� 39 Total Chg.
Inspected by 'C)
Date s = f• 7/
Building is a: Remarks:
Residence $25.00 RE- INSPECTION FEE FOR
Multiple No. units IMPROPERLY INSTALLED METERS.
Commercial
Industrial B
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:
Schaaf t: T1. -Yt jen
Please notify the above office when ready for inspection and connection.