1865 Jade Lane - Tie In Card . • '"
----........ ... ,..
EAGAN TOWNSHIP / 7 _
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Dote: /----- i - 7 ,.. Number: 1087
Billing Name. 1, \'''-f\(11' 67,Y00(1)1A Address: llo
Owner: .:7•Yls 1)\( Billing Addrestr734 -S ( - l'ilr(srel thild J:Z.
Plumber: C,--- "ttEk -- 1 - 1 •
Location of Connection Meter Size Connection Chg. 100.00 nd 12/18/72
ze Meter No.
4 Meter Reading ::::: Dep.
.
Meter Sealed: Yes Add'l Chg.
NO Total Chg.
Inspected by
10.00 nd 12/18/72
.50 pd s/c
Date
Building is a: Remarks:
Residence x x \
$25.00 PErPECT;01 r - .F. ii.,", ,
Multiple No. Units
IMPROPElf .....1:11.-.1J -tIERS. f
Commercial
Industrial B
Other Chief Inspector
In conaideration 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: • 1, -. ‘ ( )( )-C s ! '
I I
Please notify the above office when ready for inspection and connection.