4076 Limonite Lane - Tie In Card
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
-)s Number: 903
Date: } 7
fG' l i'ti i1 '
Billing Name:C~~ rt~r'.,iFl,_(r4At.Site Address:
1+
I^i' ~)Q 71~ I Billing Address
Owner:`. C. r T (t l1 l~~ 0 :.i
Y.
Plumber: tl I Il~ l f10
8 19
Meter Size~Connection Chg.~',._}_ ~72
Location of Connection 10.00
Meter No. permit Fees j a /`9%/-2
Meter Reading, Meter Dep.___--_--
Meter Sealed: Yea- -Add '1 Chg.,_--_ - ~
O sij NO Total Chg.------~-
3}
Inspected by
~ Dace A-IM - 7 y
Building is a: Remarks:
xx
Residence
Multiple _ No. Units
Commercial.
Industrial By' Chief Inspector
Other. In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tb_ proposed work in accordance wsiithh the rules and
regulations of Eagan Township, Dakota County, f
T
Please notify the above office when ready for inspection and connection.