2836 Lexington Ave - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111 //��
Telephone 454 -5242 eZ/ Atlb'
PERMIT FOR WATER SERVICE CONNECTION
Date: // • 7 •/�j(�7 Number: 27
Billing Name;/yY/J- J,[4 /SoN II Site Address:?pi, I ‘Cr/4497o,)
Owner: .54.4?$ Billing Address &
Plumber4,264/Za. 44/60iP14 4 ..Zia
Location of Connection Meter Size 5/Y Connection Chg. 3200.00 Pd
1 Meter No.41 4O 6 Permit Fee 7.50 Pd 11/7
Mater Reading )// Mater Dep. 15_nn Pd
Meter Sealed: Yes Add'', Chg.
33 30 ,l1� .
NO Total Chg. 8222.50
Inspected by c.ht v &f d1
.-- N
Date hi(q)/t1
Building is a: Remarks: oic
Residence Y
Multiple No. Unite
Commercial
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, esota.
By: a.07 k
Please notify the above office when ready for inspection and connection.