2875 Fairlawn Pl - Tie In Card `'' EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: June 23, 1971 Number: 648
Billing Name: Jerry .1etaon Site Address: ?17S r,ir1: ;n, 11 : an Ha 5
Owner: same Billing Address
Plumber: All - State Plumbin,
Location of Connection Meter Size 5/ Connection Chg. 2r; o.cx; r.d u/23/7
u(..., i Out No. 0 212177
HAVING GATrN SHUT OFF AT CURB. Meter No. 7141504 Permit Fee 10 (ir) nd 6/28/
ONLY GOING TO USE SIW'R AT Meter Reading__ Meter Dep. 15.uo pd 6/23/7
PRESENT. / Meter Sealed: Yea L"Add'1 Chg. S,GU nd 6/28%
3' 6 3 lb NO Total Chg.
Inspected by / ----)
Date G— r 7 l
Building is a: Remarks:
Residence xx
$25.00 rcr- rd. FOR
Multiple No. Unite _ IMPROPERLY INSTALLED ME
Commercial
Industrial E
Other Chief Inspector
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:
A11 :its%.. P1u bin' Co.
Please notify the above office when ready for inspection and connection.