3401 Hwy 55 - Tie In Card t EACAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT POR NATER SERVICE CONNECTION
Date: 3ep 11, 1972 Number: 9711
Billing Name: Uir Ih l uilci5nt3 Site Address: :3L ' i r : r y i 5512 Owner: ,a..i;: Billing Address Plumber:.,xze cation of Connecti Meter Size Connection Chg. 1 2/
Permit Pee �'' J / � , /7'L Meter No.�_ . ,7 / ; e 9/ }/ i 2 Metading_, MeteDep _ L p k1 ). � 1th.u, ] .:p �x pa 9 = ' Meter Sealed: Yee III Chg
II" 1 ° curb Las i,a.11J ru. y /o /l2
Mb 0. NO Total Chg.
Inspected by
e)j V Date '9 ( 7 v_
Building is a: Remarks:
Residence
Multiple No. vnita $25.00 RE- INSPECTION FEE FOR
Commercial ' IMPROPERLY INSTALLED METERS.
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:
iii.... L 11 L'.: a :'
Please notify the above office when ready for inspection and connection.