4303 Lodgepole Dr - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date:
June 27, 1972 Number: b73
Billing Name:Tilson Construction Go. Site Address: 1+303 T,Ost'01,01 jj'ive
Owner: s:aau Billing Address
Plumber: Cncr ii i „uvstins
Location of Connecti n Meter Size ,�,��
Connection Chg : oO.CQ Trl 6/26142
Permit Fee 1 9/ I 2
Meter No. _..._ /,,//77 2 5/0
dr elk Meter Reading Meter Dep.
$4 Meter Sealed: Yea Add'1 Chg.
pp Total Chg.
3y _
Inspected by 4
Date 7 /c - 7' Z
Building is a: Remarks:
Residence :_s 9.5.00 RE-INSPECTION FEE. FOR
Multiple No. Unita PROPE LY lii r,LL EJ ELI
Commercial
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: Lorwz Gall n
iuecken 1:.cavuti2.
Please notify the above office when ready for inspection and connection.