4079 Cinnabar Dr - Tie In Card EAGAN TOWNSHIP
3 795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
7
Date: i i ,A s . . ( '',1' /f J;") Number: 851
Billing Name: l I .1 tl /- / f ( Site Address:
',/') " i'
Owner: 1 /, i % ,, ; /r / • Billing Address ; ' t,' ' i`
Location of Connection Meter Size Connection Chg. Id 5/ .
Meter No. Permit Fee 10.00 E4 5/
.�O l
) i i y
Meter Reading Meter Dep.
Meter Sealed: Yea Add'1 Chg.
ll° Total Chg. Inspected by
Date ) ...r... 7 1.0'
Building is a: Remarks:
Residence 1a
$25.00 RU NSPECTION FEE FOR
Multiple No. Units IMPROPERLY UISTRLLED 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.
/
Please notify the above office when ready for inspection and connection.