1733 Deerwood Dr - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date:
�` Number: 952
Billing Name ( - ( ` ' \ Site Address:
Owner Vn i (1 1 l' (- -(\,' Billing AddreaS "1 4 -1 ) l._, 0 ' /4LA
Plumber:: < < 2 � ( � I - rt) - 1)0,d h\ i`•
Location of Connection Meter Size _ Connection Chg.300. ud i/22/72
Meter No. Permit Fee 10.00 pd G/2`L/72
Meter Readin({ Meter Dep. .50 pi d/22j72 s/c
Meter Sealed: Yee Add'l Chg.
\/71334(- NO Total Chg.
Inspected by Meter
'�
Date 1 i 6 Zi
Building is a: Remarks:
Residence
Multiple No. Unite
Commercial
Industrial 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: (,, )L to \1-14 tlWv aA
2 4� lip
Please notify the above office when ready for inspection and connection.