2782 Eagandale Blvd - Tie In Card
-74,JN 61Z
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Noy mb.r 2d_ 1467 Number: A7
Billing Name: New Holland Mech. Co Site Address: 2782 L:agandale Blvd.
Owner: above Billing Address -
Plumber: welter & B1 look
B 5T Lyndala So.
Location of Connection Meter Size Lea Connection Chg.
Meter No.,;10 9891 Permit Fee 7.5Q _?'d• 11/2
Meter Reading_ Meter Dep.
Meter Sealed: Yea Add'l Chg.
CVnu+~
p/~ y ys? DSO NO Total Chg. Inspected by e 12-,,td,
Date
ii
Building is a: Remarks: o% ~'CI ly/1~
Residence .6a 3/~ °°a,6p
Multiple No. Units 17"" C40 &J--"'
Commercial V
Industrial X 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: 1
Please notify the above office when ready for inspection and connection.