3295 Hwy 55 - Tie In Card
EWAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: . r,_, i >nlNumber: r,Ao
Billing Rome: Site Address:
Owner: Earl. r1linR Billing Address
Plumber: Schaaf Co.
Location of Connection Metes Size a Connection chg. O
Meter NO. IC10195 Permit Fee '..'10.,
hock. 212 ii'+54 -
Meter Reading'- Meter Dep.
Meter Sealed• Yea Add'1 Chg._
N Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence X
Multiple No. Gaits Ju ' 1 YYY ~ ~
Commercial r
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:
Please notify the above office when ready for inspection and connection.