4271 Lodgepole Dr - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Dote: JunJ 27, 1972 Number: bf
4271
Billing Name: Ti1•;UU Coca: Lruction Co. Site Addreasl Lod ,;lc: arlvs:
Owners "4a Billing Address
Plumber: 1,, ,,,71 FmLvstinc
Location of Connection Meter Size Connection Chg.i' -, 0 =3 ,/:6/72
Meter No. Permit Fee 1 ? .1 c /l2fi2
Meter Reading Meter Dep.
s / / C Meter Sealed: Yes Add' l Chg.
3y ) „ Q l , ND Total Chg.
Inspected by
Date 9 — ./3 7 v
Building is a: Remarks:
Residence r4 $25.00 RE-INSPECTION FEE FOR
Multiple No. Units I P`?3FEf:L'i ;ligALL ED , Z ERS.
Commercial
Industrial By: Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do de proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By ] .oren G±11uti
f. ;:.i:G .uav 1.:.:
Please notify the above office when ready for inspection and connection.