4279 Lodgepole Dr - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
" Date: Flay 13. 1971.
Number: alp
Billing Name: ' ='i13en Ct,it4t= 'action Cu Site Address:
- ' F 7 7 ? �, s l r 't -rtv i'ver;.lrr:a:.: .
Owner: :Su1'.e
Billing Address
Plumber: Lai ck 1's cavat
4/2/71
Meter Size_________ Connection Chg. �±
Location of Connection ply IA 5/13/7
1 Meter No. Permit Pee 10
? Meter Reading`___ Meter Dep.
" 1 7 1 ) ( Meter Sealed: Yea__ Adel
7 Np
Total
Chg.
Inspected by
Date 5 _ 11.1/
Building is a: Remarks:
Residence xxx
Multiple No. Units $25,00 RE INSPECTION FEE FOR
Commercial IMPROPERLY INSTALLED METERS.
Industrial_____ B y' Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tie proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
ivac�.en wccavutin�;
Please notify the above office when ready for inspection and connection.