4061 Halite Lane - Tie In Card •
•
••••"'`
` e EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Number: 780
Billing Name: Site Address: f ! i
Owner: Billing Address %'=
Plumber:
cation of Connection Meter Size Connection Chg. 't0.00 Tit 3/6/72
Meter No. Permit Fee 10.0.7 :1 3/16/72
. %� pa 3/16/72
• Meter Reading Meter Dep.
.3 , ••
39 .L.. Meter Sealed: Ye_ Add' 1 Chg.
NO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence ;x
Multiple No. Units
Commercial
� wL . uO RE iP - 1 ; FE FO
IMPROPERLY INS TAL L ED 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.