1716 Davenport Cir - Tie In Card
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT POR WATER SERVICE CONNECTION
Data: i~. 1.- Number: 1020
Billing Name: 33te Address: 117Y
Billing Address'Ti,Z '
Owner:
Plumber: A(i1. ~1~f ! ~~t +'~Cn
Location of Cooaecti Meter Size Connection Chg. l l0/2 /72
Mcter No. Permit Fee IO.LJ ~u/z5✓72
r_
d Meter Reading„ Meter Dep.
Meter sealed: Yea Add'1 Chg.
s q J HOTotal Chg.
/ Inspected by
Data /917'.7 L
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` j
By:
Please notify the above office when ready for inspection and connection.