4018 Limonite Lane - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: :1 r, r I? I c ' 1 '(IO Number: 446
Billing Name:C,: s r,, F Site Site Address:' i l ,
20 - 7
Owner: Billing Address !' 1 i
t
Plumber: ��� r' .
Lo tion of Connection Meter Size Connection Chg. =y_ x+/
Meter No. Permit Fee lo.( 1 6/
j. « Meter Reading Meter Dep.
4. Meter Sealed: Yea Add'l Chg.
45 1`O NO Total Chg.
Inspected by
Date l'''"7:020
Building is a: Remarks:
Residence xx
Multiple No. Units
Commercial R
Industrial By:
Chief Inspector
Other : ,
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tle proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
Please notify the above office when ready for inspection and connection.