4048 Cinnabar Dr - Tie In Card d
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: % /// J / y ^' Number: c 0
cf,,
Billing'Name: ' ' /r i % f - r t ;S f
,Site Address: : i 1' ✓' !-
Owner: ' ` :. "/ /7, pp / ; % Billing , '
ngAddre��
Plumber .:/ f
Lo ion of Connection c Meter Size Connection Chg.? r.,, ,;
Meter No. Permit Fee 10.00 cii i /25i1
♦ 9 Meter Reading Meter Dep. "0 14 V25/7
39" A Meter Sealed: yes Adel Chg.
NO Total Chg.
Inspected by
e ,..a " —'"� Date
r-/?-7
Building is a: Remarks:
Residence $25.00 RE- INSPECTION FEE FOR
IMPROPERLY INSTALLED METERS.
Multiple No. Unite
Commercial
Industrial By .
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do Um proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
/ /
.;
Please notify the above office when ready for inspection and connection.