2905 Egan Ave - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Dote: _ '!n 107, Number: , S
Billing Name:H.arry U. Lissick Site Address: 5 fa ,.n ?.,:,,. 2a, - ;n 55111
Owner: /MEd Billing Address
Plumber: A11 - State Pluuibin.,; Co.
Location of Connection Meter Size Connection Chg.'"." ;+a vi--)L;/71
Meter No. 1 1 f''1. ':i Permit Fee 1 u a ,o 7/rc/7.1
ARE UOT GOING TO CONNECT A "' 1%3;71 -t
PKL'sENT 1'IidE, Meter Reading_ Meter Dep. 1 1
Meter Sealed: Yes Add'1 Chg. uu >: 7/:i:471
Ni
NO Total Chg.
77%
Inspected by --;)
E'A - - -Date 7- s 7_'7/
Building is a: Remarks:
Residence xxx
Multiple _ ^- No. unite $23.90 R% iNSPEC i IOid F EE FOR
Commercial IMPROPERLY INSTALLED ME TERS.
Industrial B
Other Chief Inspector
In conaideration 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: -i
: atatc11.1u6bing Co.
Please notify the above office when ready for inspection and connection.