2943 Inland Rd - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: , T m+ is 1971 Number: F104
Billing Name: Nichol -s c•vera1vk Site Address: -01 1.,1 ....
Owner: Nicholas Gawreluk Billing Address ' lnl:rd Po ,1
Plumbers Wenzel Plumbing '& Heating Inc.
Location of Connection Meter Size Connection Chg. - - (0,00 zxi 6/15/71
Meter No. Permit Fee to ,.d 9/15/71
5U pd 9/15/71
Meter Reading Meter Dep.t Id 6/15/71
j
Meter Sealed: Yes Add'l Chg.
g5 NO /� ` , To o ta ^ l � Chg.
Inspected by % — `1
JA14-1=4 77 Date
Building is a: Remarks:
Residence x ' $25.00 RE INSPECTION FEE FOR
IMPROPERLY INSTALLED METERS.
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:
h'411e1 1'lw4uiug S Vicatiu„
Please notify the above office when ready for inspection and connection. r '