1770 Flamingo Dr - Tie In Card �� EAGAN TOWNSHIP
3795 Pilot Knob
Road
111
St. Paul, Minnesot
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Data:
. L"' . or 3O, 1971 Number: 767
Billing Name:
p iatram Site Addrese:l71 �r�"°'i'�t:° Dr iver L1 =,i1
Billing Address
Owner' •
Plumber: C°na' Plumbin Co. _
Meter Size b Connection Chg.� — __ I �'i
Location of Connection 32 � nC n 1 �1�1
Meter No.21o35�ad5 Permit Fee
Meter Reading____ Meter Deo.. 66 .E
Meter Sealed: Yes_ Add'1 Chg.___
NO_____ Total Chg.___ _.-....____—
P " Inspected by
Date
Building is a:
Remarks:
T House ! t C [ C
Residence - a rte"
Multiple______ No. Units
if +1r: " t ii �I .LLED r.S.
Commercial
Industrial B y' Chief Inspector
Other
I
In consideration of the issue and delivery to me of the above permit, I
reby agree to do the proposed work in accordance with the rules and i
Eagan Township, Dakota County, Minnesota.
regulations of Seg \� t,_
fy— G Oonsolidatumbin� Co. i
( �� d
lease notify the above office when ready for inspection and connection.
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