1851 Jade Lane - Tie In Card EAGFN WWNSRIP 7 ' 7
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: ,) i // / '� /a> 75e Number: 852
Billing Name / (j
// / ' i.- Site Address: , I ' / G �� J
Owner: J• > ! / , . Billing Address ' f .; '
Plumber: ' /, i,
Location of Connection Meter Size Connection Chg. __ 5/"5/72
Meter No. Permit Fee 10.e) nd5/25/ ?2
.ice 1 5/25/7
Meter Reading Meter Dep.
VP Meter Sealed: Yes Add'l Chg.
, � Total Chg.
Inspected by
Date - r' 7 7/
Building is a: Remarks:
Residence xD
$25.00 RE INSPECTION FEE FOR
Multiple No. Units_ IMPROPERLY INSTALLED METERS.
Commercial
Industrial By:
Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
Please notify the above office when ready for inspection and connection.
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