1711 Davenport Cir - Tie In Card EAGAN TOWNSRIP
3795 Pilot Knob Road
St. Paul, Minnesota 551.1.1
Telephone 454 -5242
PERRIIT FOR WATER SERVICE CONNECTION
Date:
10! 1'3 Number: 1 u2
C ((�� ( � nv 1) Site Addreas:
Billing Named . C'?!'�` {'�.. ^11 f•. V � (_ I. /i (
Owner:
Billing Address r , f 4 t •.. 1 : C0113/
lumber: (� k?
c)- �
P Qa , Y � � I f ^r!
Connection Chg. 1 'u.u+r(:d t 0/25/ 72
Location of Connection Meter Size -- -�- -^
Meter No. � Permit Fee iu •Ju 1 1u/ 5/72
• :•,) u •/ 2:./12 u/e
Meter Reading Meter Dep.
Meter Sealed: Yea Add'1 Chg.
NO Total Chg.
Inspected by
Date /l. -75 - 7 Z
Building is a: Remarks:
Residence_
Multiple No. Units
Commercial
Industrial By: Chief Inspector
Other
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:\ � t a �! t� � . ' � � �._ � . 02
Please notify the above office when ready for inspection and connection.