1858 Jade Lane - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242 5-5-7
PERMIT FOR WATER SERVICE CONNECTION
Date: (( ((- 3 Number: 8E31 I - Billing Name:. ' ` 1 -, t, 1 \\'`+ ! \ y Site Address 7, 4, ' \5 ,..
Owner: s_ y , k., ( <,5n t ■ . ' ;;'V". Billing Address / � ` i'' i kL
Plumber. i 4,1 t Ow 1 \-.) (
Location of Connection Meter Size Connectio Chg."
Permit Fe 10. ; 7/3/72
3 t
Meter No. r= ri V72 •
Meter Reading Meter Dep.
r 0 Meter Sealed: Yes Add'l Chg.
3 �. 7 NO Total Chg. rTh 8 Lac K / r n O,. PA. Inspected by
Date 7 -, — ?4 '
Building is a; Remarks:
Residence'_'
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 dm proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By: ti,.. \ I —, t \iJ ` ,+. , ! ! 0
! ■
Please notify the above office when ready for inspection and connection.