1430 Highview Ave - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date : /' /-J 4 -' r / Number: txr 165
Billing Name -' f i.Gc , .�' ° �'✓ Site Address;
Owner: r �.. " Billing Address , ✓'
Plumber: / /,, tom,: , ,.. d
Location of C neF ion� �� Meter Size 'Conaectioa Chg. ' u0 ;:� 10 /;4 /by
�ew'� �cet, Deb: 10 /14 /of
- �
44 144 '**"• Meter No. Permit Fee Y. J rd 104/C9
Meter Reading Meter Dep.
Meter Sealed: Yea Add']. Chg.
NO Total Chg.
' Inspected by
sAi Date
Building is ae" Remarks:
Residence
Multiple No. Units
Commercial
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: c. J :, 1
Please notify the above office when ready for inspection and connection.