3314 Heritage Lane - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: °ocoucr 2, 1) Number: 1 u 5 .!
Billing Name: "-"L Lud 1.rjO Site Address: 3j1
Owner: Billing Address
Plumber: L koi. -; .ui. 6o11,1.ru „ti i Co. inc.
Location of Connec ion Meter Size ` i i Connection Chg. - " I'`` 1 u/2/72
Meter No ' > '= '1:r Permit Fee l u.00 It /.://.'
, Meter Reading Meter Dep.
' Meter Sealed: Yes Add'l Chg. ' .' 14 1,/2/i_
' NO Total Chg.
/dip"
1 Inspected by
1 Date /dam 3
Building is a: Remarks:
Residence
Multiple ” No. unite �25.G0 RE INSPECTION FEE FOR
Commercial IMPROPERLY INSTALLED METERS•
Industrial By:
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tle proposed work in accordance with the rules and
t regulations of Eagan Township, Dakota County, Minnesota.
By:
Go.
Please notify the above office when ready for inspection and connection.