4055 Halite Lane - Tie In Card /t 7
0
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Number: 790
Billing Name: Site Address:
Owner: Billing Address
Plumber:
Location of Connection Meter Size
Connection Chg. 2dO.00 pd 3/16/72
Meter No. Permit Fee lrLOfl r4 3/16/72
.yp p1 3/16/72
Meter Reading__ Meter Dep.
// Meter Sealed: Yes Add'l Chg.
�. NO Total Chg.
7 ✓
Inspected by
Date el - /4'7
Building is a: Remarks:
ResidenceT
Multiple No. Units 2;).G3 "L " tc 1
IMPROPEP,LY iWWSIALLtD FiETE
Commercial
Industrial By: Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tin 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.