4322 Lodgepole Dr - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Au ust 24, 1971 Number:
093
Billing Name:
Tilsen Construction Co. Site Address: 4322 Loa ipol Drive, L-11 -a 511:2
Owner: Billing Address
Plumber:
Meter Size 260,00 u.1 6'/24/7
Location of Connection , . -.-. --
Connection Chg.`
Meter No. Permit Fee 70,CL nrl 11 10-71
• Meter Reading Meter Dep.
I D Me te r Sealed: Yes Add'l Chg.
No Total Chg. .50 p:. 11
Inspected by
Date
Building is a: Remarks:
Residence 7000
Multiple No. Units RE- INSPECTION EEc EOI�
Commercial IMPROPERLY ItJSTALLEI) MET €t S:
Industrial By: Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Please notify the above office when ready for inspection and connection.