1750 Crestridge Lane - Tie In Card EACAN TOWNSIIIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Nws 79 1971 Number: 757
Billing Name: Anthony Campobasso Site Address: 1750 Creatridee Tanr
Owner: same Billing Address
Plumber: rd Klemm
Location of Connection Meter Size Connection Chg.280.00111 -24 -71
Meter No. Permit Fee "._%.a_.s ./1
Meter Reading Meter Dep. 15.00 11 -24 -71
'Meter Sealed: Yea Add'1 Chg.
4 - ND Total Chg.
6 3� '' S � 3 Inspected by
Date Ji- io -1 y
Building is a: Remarks:
Residence x
Multiple No. Units
4 `G� L .
IMPROPttLY ;��jTALC u 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.
B KLammftumbing
Please notify the above office when ready for inspection and connection.