1795 Crestridge Lane - Tie In Card
RAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: ot. 27, 1972 Number: 9tiY
Billing Name ho+;rd hothfork Site Address: 1'0 r .c tr i:u. 1r2
Owner: xue Billing Address
Plumber: ~r//ti <~:-a.~!~✓
Location of Connection Meter Size Connection Chg
Meter No. Permit Fee
ID Meter Reading_ Meter Dep.
Meter Sealed: Yea Add'1 Chg.
a NO Total Chg.
Inspected by
Date 7
Building is a: Remarks:
Residence xx
Multiple No. Units-
FEE FOR
Commercial 44 HUNERLY 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:
CJ
Please notify the above office when ready for inspection and connection.