595 Chapel Lane - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: TAn,r:ry /I1, 1471 Number : 4a
Billing Name: Arthur R. Tietjen Site Address: 6e5 Ch4oe1 1.1_
Owner: Arthur R. Tietjeu Billing Address 595 Chag<:i
Plumber: 0. B. Thompson
Location of Connection Meter Size Connection Chg. 260.00 ;; 9/15/70
lccuuat Utpasit 45.00 pd 9/15/70
Meter No. Permit Fee in io L L/20 71
1 Meter Reading Meter Dep.
y s - 3 7,- _ Meter Sealed: Yea Adel Chg.
J NO Total Chg.
6 )Z
C�
Inspected by ��
tOLSE Date / — v 2I
Building is a: Remarks:
Residence
Multiple No. Unita
Commercial
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,
n
By �1 i•
0. B. Thompson Plumbing
Please notify the above office when ready for inspection and connection.