2995 Egan Ave - Tie In Card EAGAN 1
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454'5242
PERMIT TIDEWATER SERVICE CONNECTION
Number: i.'
N 121
19 72 »
Date: L� uober S ' dress:
: ,.n Site Ad
Name: itob � –�
Billing Billing Add��
Owner: , " ress
.
ivabi do ia"in;; In •
Plumber: w��rzal Y Connection ChB• 9� 12/7/ Size— 10.00 P3 12 /b� 2
Location
of Connection Pe Fee - 4/w 72
Meter No.______,
Meter Reath_
Meter Dep.J"–
III '-'1.-7-- Meter Sealed: Yes. Add'l Chg.___—
Total Chg..—
, Inspected by
6j V
Date
Remarks: - �'
Building is a: L'L� iii L(ERS
Residence �l aif� �w
Multiple
g Units
Commercia Chief Inspect
By:
Industrial
Other_________ I
of the above permit,
delivery to me rules and
he
I considera agree of the issue work in accordance tth the
a ree to do the proposed to County,
regulations of Eagan Township. Dak°
BY:
U,
41Cn21 � $c tlaatint3 �C'
Please notify
the above office when ready for inspection and connection.