1855 Jade Lane - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: 7f / / i ' Number: 143
Billing Name: / (,e) " - / ;t Site Address: / e ( 1 I
Owner: / • 1 ,Billing Address
Plumber:
Location of Connection Meter Size Connection Chg .) P- 5/25/72
Meter No. Permit Fee 1G.)o ,a 5/25/72
' . 14 5/25/72
Meter Reading__ Meter Dep.
Meter Sealed: Yea Add'l Chg.
NO Total Chg.
3 6 1 O Inspected by
Date 1* a )"' 7 L
Building is a: Remarks:
Residence xx ZJ.
4 03 p-' : CFECIIO 1 FEE FOR
,,
Multiple No. Unite 1MPROPE LY INSTALLED METERS.
Commercial
Industrial B
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I ,
hereby agree to do tie proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
r
Please notify the above office when ready for inspection and connection.