3405 Hwy 55 - Tie In Card •
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT POR WATER SERVICE CONNECTION
Number: r
Billing Name: Vir!+l Sousa
Site Address: 3445 iiwg ?�5 ,
Owner: S ame
Billing Address
Plumber: Tohn Mo'uilltn
Meter Size
Met AI /; . N Connection Chg.
Location of Connection �� / l b' - 70.n0
Meter No. h S Permit
U C Meter Reading_ Meter
'
r d f A Yet Meter Sealed: Ye eJ Add' 1
6y' � Np Total
Inspected by
/
Building
is a: Remarks:
Residence X
Multiple _ No. Unite
Commercial
Industrial B y ° Chief Inspector
Other
In consideration of the issue and delivery to ne of the above permit, I
hereby agree to do the proposed work in acc rdance with
ith, the rules and
County, regulations of Eagan Township, Dakota y,
BY:
Please notify the above office when ready for inspection and connection.