4367 Lodgepole Dr - Tie In Card MAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date• hpril 9, 1971
Number: 623
3c7 Loci t {i��1c Drive
Billing Name: W °8a �" Co
' tn truc
stion Site Address:
Billing Address ag
Owner: u .
Plumber: l' reel t & Hes tin a I c.
Connection Chg. "266,00 nd 4/9/71
Location of Connection
Meter Size�_ 10.00 pd 5/26/71
v Meter No. Permit Fee________---
Meter Reading Meter
Meter Sealed: Yee_, Add'1 Chg•�—
NO Total Chg.______.----
No
"-'- Inspected by
Building
is a: • Remarks:
Residence_. $25.00 IiE-iN EC 10: 1 Er. FOR
Multiple _ No. unite IMPROPERLY INSTALLED METERS.
Commercial
Industrial B Y ° Chief Inspector
• Other
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tb: proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Nnr+zel NLuw0.'"I S Hea ting, Inc•
Please notify the above office when ready for inspection and connection.