2791 Eagandale Blvd - Tie In Card < «C m.:Tr
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EAGA.N TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERU LT FOR WATER SERVICE CONNECTION
Number:
Date• •• > �--- � p
gyzmytsok Bldg. 0/o Site Addreae \
Billing Name: u aw ,.vt r�,,."_
Owner: Billing Address
Plumber:
Mete Size / �, Connection Chg.
Location of Connection �/I
Meter No.
z Lit I Permit Fee 7.50
Meter Reading ` Meter Dep.
Meter Sealed: Yes Add Chg.
N G i i1 / ' 30 04.7 NO Total Chg.
Inspected by
Date
Building is a: Remarks: 2"
Residence
Multiple No. Units
Commercial
Industrial 2 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.
B CoNOlidated Plb
9550 1ocmineton Preewap, i•yls. 1 nn., ` - 5 4 3 1
Please notify the above office when rea dy for inspection and connection.