1387 Cosmos Lane - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: a.r =u -`� 15 1972
Number: 941
Billing Name: Tillta C:vis truction Co. Site Address:
Billing Address
Owner:
Plumber: Iu'ck i cdvmtint
Meter Size Connection Chg. r, /15l72
Location of Connection - ---- --
Permit Fee lU,UO la 9/
Meter No. p;: x/12/72 sic
Meter Reading Meter
.1;i:,:;;;;;) Dep.
Meter Sealed: Yee Add'l
NO Total Chg.
.3
HS - Chg.
Inspected by p
Date I3 7 Y
Building is a: Remarks:
Residence x u $25.00 RElNSPECTION FEE FOR
Multiple No. Units IMPROPERLY INSTALLED METERS.
Commercial
Industrial Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tin proposed work in accordance with the rules and
regulations of Sagan Township, Dakota County, Minnesota.
By:
Please notify the above office when ready for inspection and connection.