4225 Lodgepole Dr - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: r =aaat 29, 1972 Number: 9,
Billing Name: Yilael: Con tructicin Co. Site Address: },'_' "r T ) ,. .4 r i as
OwRer: .;,; Billing Address
Plumber: La.;c4on LwcuYat1I2
Location of Connection Meter Size Connection Chg. Q•' a 6/29/0
Meter No. ' �
Permit Fee ii _,.i 9/W12
„u }ILL /72 �
Meter Reading Meter Dep.
S Meter Sealed: Yea Add'l Chg.
2- 7
,/ NO Total Chg.
Inspected by
Date 9'— %3. �rI
Building is a: Remarks:
Residence '
Multiple No. Units_
Commercial $25.00 RE- INSPECTION FEE FOR
IMPROPERLY INSTALLED METERS.
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:
Lu:;o::etl hr�C tiYuGlrig
Please notify the above office when ready for inspection and connection.