4051 Cinnabar Dr - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: I /99 ' ? Number: 1104
Billing Name(4nC � ` �l" =v (� � 1 Site Address: /( ��1� . 11\ 11�i�Yil
I J
Owner: 1n 111 Billing Address � 1 ∎ C' I ' nc ( �
Plumber: 'I 11
Location of Connection Meter Size Connection Chg. , 12/29/
Meter No. Permit Fee13.0 1 r 12/2902
. ;'d f1 12/29/72
Meter Reading Meter Dep.
Meter Sealed: Yea Add'' Chg.
111111r0 / NO Total Chg.
Inspected by
Date ) 3 7"
Building is a: Remarks:
Residence xx
Multiple No. Units
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.
By: . r i' 'k'`v 1 ;I', A r t 1 . _ J, r'V`•
Please notify the above office when ready for inspection and connection.