2890 Fairlawn Pl - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: D •17, '071 Number: 6ua
Billing Name [jel' r,rra t I ; rut mand Site Address: ? i +t '. i ri:.t.0 f,Va:tiui Ld ,sit
Owner: same Billing Address .
Plumber: ..?',
Location of Connection Meter Size = "'? '` Connection Chg..." 3.7U 1- o/3i1/7
hot cuixn <cting - Water 4..,
to be turned off dt curb Meter No. ». - +_ T Permit Fee i n o ../, 1/4 /r/
.J1C
Meter Reading — Meter Dep.
Y Meter Sealed: Yea Add'l Chg.
w 21 /
! NO Total Chg.
Inspected by L/
rtil2L.4WA/ Date 7- 7 • 7/
Building is a: Remarks:
Residence 14-1
Multiple No. Units E Ip�SP i O�J FOR
Commercial IMPROPERLY $25.00 R U�STALEC LED FEE METERS.
Industrial By:
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: .
Please notify the above office when ready for inspection and connection.