4341 Lodgepole Dr - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: November8 , 1971 Number: 742
Billing Name:Til,.en Conqtrartion Co. Site Address: ix 4141 1 :d>. - 1111r- rrivY
Owner: same Billing Address
Plumber:
Location of Connection Meter Size Connection Chg. id.U.UU pd
Meter No. Permit Fee 1C.0) no 11 - 10 - 71
Meter Reading Meter Dep. •50 pa 11610 - 71
,)oof Q 7 Meter Sealed: Yea Add'l Chg.
Ifi �v NO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence
Multiple No. Units
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:
Please notify the above office when ready for inspection and connection.