575 Chapel Lane - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: May 4, 1971 Number: 596
Billing Name: Donald Chapdelaina Site Address: 575 Chaut1 lane, Caeun1 55121
Owner: gam Billing Address saw
P1timber:Schaaf 4 McQuillan •
Location of Connects n Meer N
t Size 5/9 Connection Chg. 26000 pd 5/4/71
RO. I921$G
Meter No. 21294451 Permit Fee 10.00 pd 5/4/71
Meter Reading r ' Meter Dep. 15.00 pd 5/4/71
Meter Sealed: Yea 'Add'1 Chg. 7.50 pd 5/4/71
' Sn
NO Total Chg. 2 ) 2 .5 0
Inspected by
Date J r 7,
Building is a: Remarks:
Residence :c
Multiple No. units _ $25,00 REINSPECTION FEE FOZ
Commercial IMPROPERLY INSTALLED METERS.
Industrial By:
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tIe proposed work in accordance with the rules and •
regulations of Eagan Township, Dakota County, Minnesota.
By:
ScL S lic.4 4111an
Please notify the above office when ready for inspection and connection.