4096 Halite Lane - Tie In Card EAGAN TOWNSHIP
- 3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: August 20, 1971 Number: '
Billing Name: c:' - r- 0 , ■ r . , -, , < , , , Site Address: :u „ ,,: 1 -i ,. , ,
Owner: eu',- Billing Address l' c;.n:..,.,. ,1:,,;
Plumber: "6ia, Bl'amuia •
Location of Connection Meter Size — Connection Cbg.-' J -u, ;r, 0'3o /7J
Meter No. Permit Fee v ".G.Gi a ! %�!'l
Meter Reading_ Meter Dep.
z / ` � �� Meter Sealed: Yes Add' 1 :: Total
Ins by
Ai 96/7 Date R-/-7/
Building is a: Remarks:
Residence x,.xh
Multiple No. Units $25.00 RE•INSPECTIOU FEE In
Commercial IMPROPERLY INSTPU_E3 i c S.
Industrial By:
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 accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By: t, , ,, , z wo.c Conz;Cructi a C, o:wv
Please notify the above office when ready for inspection and connection.