4043 Cinnabar Dr - Tie In Card EAGAN IWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: hovcuaber 30, 1970 Number: 511+
g , 7
Billing Name:Cedar Grove Const. Co. Site Address: 4043 G'lunah:r Drive
Owner: Sa ❑w Billing Address7343 Concord sled. E.
S0.:1.11 5c. r.,u1, 2«s: ota
Plumber: Stein, Inc. ,55075
Location of Connection Meter Size Connection Chg ui , 12/3/7
Meter No.
Permit Fee 10.00 pj 12/3/7'
` Meter Reading Meter Dep.
d Meter Sealed: Yea Add'l Chg.
- NO Total Chg.
Inspected by ) V
4AB� Date / 7 / // 7d
Building is a: Remarks:
Residence ' S25 nn RE I4JSPECTION FEE FOR
Multiple No. Units tt P;IOPE„LY 1TJSTALLED METERS.
Commercial
Industrial By: Chief Inspector
Other
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: CEDAR CLOVE C6NSiKUCT10,1 CCU,e1..v
Please notify the above office when ready for inspection and connection.