1300 Deerwood Dr - Tie In Card EAGE'N TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: 1''!9/7' Number: i■77
Billing Name: Thot.a:z h,tte1and Site Address: i . )r1.vu
Owner: Billing Address
Plumber: La"" J"
Location of Connection Meter Size Connection Chg.)- ..,v ■ :,i 12/4/72
•� Meter No. Permit Fee i I : i7.
Meter Reading Meter Dep.
— , - 61.1y - Meter Sealed: Yes Add'l Chg.
Dee, . >o ['A a NO Total Chg.
- Inspected by
might 1
Date / & _ 1 14E f Si I)
Building is a: Remarks: ��'� ; f�MP
Residence '
Multiple No Units
Commercial
Industrial B
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By: r
Please notify the above office when ready for inspection and connection.