4076 Halite Lane - Tie In Card -/,_)- '
.- `—.— o .
rEAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
,,? Number: 1051
Date:
Billing Name \ " -- r "v t ` " c k v \Site Address ) t
1
Billing Addresa ? '` i i� i ', 1 �.�� 1
Owner: : 1:\ Billing
Plumber: ' - - {'V \V ��� \�'iA\�1(1�
Location of Connection Meter Size_
Connection Chg. ^0.00 td 11/17/72
Permit Fee 1U 00 1x3 11/17/72
Meter No. _ Perm x (/72
Meter Reading Meter Dep.
Meter Sealed: Yea Add' 1 Chg. - _ __��
35� 7 No Total Cbg.�_—
7 Inspected by
Date
Building is a: Remarks:
Residence xs
Multiple No. Units
Commercial
Industrial B y ° Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit. I
hereby agree to do the proposed work in accordan with the rules and
regulations of Eagan a County, 4.
an Township, Dakota C t
B icy. { .{ � _4;
'
Please notify the above office when ready for inspection and connection.