4265 Lodgepole Dr - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
•�,� St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: April 12, 1972 Number: 61 3
Billing Name: Tllsen Ccalstruetion Co. Site Address: 4 Lod vpoLc _)•ivo
Owner: Billing Address
Plumber: Lueck n Excavating
JLe."1.1
Location of Connection Meter Size Connection Cbg.iUU.UW 1'd 4/
Meter No. Permit Fee 10.00 pd 5/30/72
.5U pa 5f u /?2
Meter Reading Meter Dep.
Meter Sealed: Yes_ Add'l Chg.
2- NO Total Chg.
4 I 7 Inspected by
�� � 3/ ��
Date
Building is a: a Remarks:
Residence sac
Multiple No. Units
Commercial lMPi.QPErtLY hi,S,ALLLI iiiu fzj.
Industrial By:
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tlw proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Luecken 1xc 8vet3IIg
Please notify the above office when ready for inspection and connection.