3265 Hwy 55 - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: 4ril 12, 1971 Number: 567
Billing Name• Freurlc K. 1Cuch Site Address:: Ff i i.:: 57F21
Owner: scua Billing Address
Plumber: Weiuckc 'f:e[ichiu„ cc vat i��b
Location of Connection Meter Size Connection Chg. 1 4/12/71
a/1471
2 2. 3 Meter No. Permit Fee 1 ; is
Meter Reading Meter Dep.
/yr 1 Meter Sealed: Add Chg.
J NO Total Chg.
G :1);ei.,
Inspected by
°�k "W� rr > �Q ✓ Date y - / ! ' 7/
Building is a: 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 �;
Uaic,La Trc chiug F Exrr ✓a`in
Please notify the above office when ready for inspection and connection.