2980 Lone Oak Cir - Tie In Card
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Number: bit
Billing Name:i;•1e,,d1 Yrd station Site Address
Owner: '1'oun~hiF' Billing Address
Plumber: i:.:. :iul sl;umc rin Inc.
Location of Connection Meter Size Connection Chg.
Meter No. Permit Fee F • uu 1u ' Meter Readinp,_ Meter Dep.
f Meter Sealed: Yes Add'1 Chg.
NO Total Chg.
Inspected by
ate
Building is a:(~'ATft/,9CIF Remarks:
Residence
Multiple No. Units-
..._...,.__J ,t
Commercial L
Industrial By:
Other Chief Inspector
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.
i