1377 Cosmos Lane - Tie In Card
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: ly_ N72 Number: 944
Billing Name:'i` i-;.1 Conucr-t1.>n Co. Site Address: 2377 C--11-
Owner: Billing Address
Plumber:
Location of Connection Meter Size Connection Chg. Z/15/72
Meter No. Permit Fee
Meter ReadinpL. Meter Dep. "II Pd s/C
Meter Sealed-. Yea_ Add'1 Chg.
NO Total Chg. Inspected by
Date
Building is a: Remarks:
Residence
Multiple No. units $25.00 RE-INSPECTION FEE FOR
Commercial IMPROPERLY INSTALLED METERS.
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: . Loren Galluti
LLL-UiLail + QUVutl[lg
Please notify the above office when ready for inspection and connection.