4072 Limonite Lane - Tie In Card
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: S Number:- r AR
Billing Name((`."' A-i (ins,)e (1hSSite Address: k, 1
Owner: Yi l F' Billing Address
c~_ 1
Plumber: 'W,'\ VN 1 { 11~ I h
Location of Connection Meter Size Connection Chg. 12/18
Meter No. Permit Fee 10 A/72
Meter ReadingL_ Meter Dep.
~,3 Meter Sealed: Yea Add'1 Chg. NO Total Chg.
Inspected by
Date
Zilding is a: Remarks:
Residence xx
Multiple No, units ~25~J F
Commercial iPROPC a ~(!:ilt~DD iEft~.
Industrial By:
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:lk Z \ c l\' A
Please notify the above office when ready for inspection and connection.