4013 Limonite Lane - Tie In Card P-2- - 7
` EAGFN TOWNSHIP
1 3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: ;' Number: :, , -5
Billing Name: Site Address:
Owner: Billing Address
Plumber: , ,
Location of Connection Meter Size
Connection Chg /U
Meter No.
Permit Fee � "j
Meter Reading Meter Dep.
Meter Sealed: Yea Add'l Chg.
/� Total Chg.
O 6 Inspected by�
La aa D N /!; Date 1-.5(7-76
Building is a: Remarks:
Residence zx
Multiple No. Units
Commercial
Industrial 5 7: _, , ' Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Please notify the above office when ready for inspection and connection.