2792 Eagandale Blvd - Tie In Card 3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454.5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Junue 1`
EAOAN TOWNSHIP Number:
Name Ov rat Americnn Fruit Site Address:
Billing Address
Owner: prericvn Fruit Billing
Plumber:
Hnr Widn Bros•
Meter Size Connection Cbg•__.__
Location of Connection Permit Feed /7/70
Meter No.
Meter Readi11e Meter Dep._____—.-----
S, Meter Sealed: Yes_. Add'1 Chg.� ----
n Q% NO
�/"� Total Cbg._
1
Inspected by C� "14
L .
O. Date - - 7U
Building is a:
Remarks:
Residence______
Multiple _ No. Units
Commercial
Industrial IY' 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
of Sagan Township, Dakota County,
regulations �/ /
By .
Please notify the above office when ready for inspection and connection.