3642 Kolstad Rd - Tie In Card
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: lriarch 29, 1972 Number: 805,
Billing Name: ,law Horizon Hmmes Site Address:3&2, 3641. ~:016, e. 1618 Kolatud
Owner: s:uaa Billing Address
Plumber: Thoc:pson FUmbing Co.
Location of Connection Meter Size Connection Chg.
.aa
Meter No. Permit Fee -4.001
31'9%12 u/c
e Meter Reading- Meter Dep.
y t:~tc,~ ~ a
H7- ) H'I //51'41 Meter Sealed: Yes_ Add'l Chg.300.CO 3/29%(2
NO Total Chg.
Inspected by
Date #-7-!g
Building is a: Remarks':
Residence xx
Multiple No. Unite
Commercial
J(JiPROi'E t.r ttti„t~_L=.. f,,LiEitZ).
Industrial By:
Other Chief Inspector
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:
141c-t ,0oA Y u w ink L'o.
Please notify the above office when ready for inspection and connection.