1870 Jade Lane - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT TOR WATER SERVICE CONNECTION
Date: )k )( Number:
Billing " ite ress.
Owner:1 A - - Billing Address: --
plumber: .1)\ „I
;SC 7 S
Location of Connection Meter Size Connection
■ Meter Permit
Mater Reading,_ Meter
Meter Sealed: Yes__ Add'l
Total
Inspected by
Building is a: Remarks:
Residence
Multiple No. Units
Commercial
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:t % 1 ( • ( .' • \'
1-:.
Please notify the above office when ready for inspection and connection.