1476 Highview Ave - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: 10 /6/71 Number: 729
ld
Billing Name:Archiba4Pavlak Site Address: 1476 Di2hview
Owner: sate Billing Addresssame
Plumber; Dakota Minn. Const.
Gordon Bjornson
Location of Connection Meter Size 1 Connection Chg. 260.00
ny, Acct. Dep. - 17:75 -- -
Meter No. = Permit Fee 10.00 r
1u /7 h1 °/` .50
Meter Reading Meter Dep. ,
Meter Sealed: Yea Add'l Chg.
p 71 11/4
NO Total Chg.
Ai 3g/
Inspected by
efe.liV.r.J Date � - 7 - - 7 /
Building is a: r marks:
Residence x
Multiple No, unite $25.00 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 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.