4054 Cinnabar Dr - Tie In Card
EAGAN TOWNSHIP
3795 Pilot Knob Road 11-10-7,
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: M-ty 22y tan Number: 645
Billing Name: Cads, rrnve rnngtruntlnn Site Address: r,<i r; r..
Owners Ca.3ar Grove Cnn~t.-tinn Cn_ Billing Address')-4!.'i ram„,,,,.,4 nl_. P
Plumber: Stein PlujbbinP
Location of Connection Meter Size Connection Chg. T 5/2/T
Meter No. Permit Fee 1U.0U Id 5/2':/72
=
Meter Reading_ Meter Dep.
Meter Sealed: Yea Add'1 Chg.
NO Total Chg.
yo = H-3
Inspected by
Date S- /9 7 y
Building is a Remarks:
Residence 7OCi' $25.00 RE•iNSPECTION FEE FOR
Multiple NO. Unite IMPROPERLY INSTALLED METERS.
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: Cedar Grove Construction Cora:r..anv
Please notify the above office when ready for inspection and connection.