1396 Lone Oak Rd - Tie In Card 0
O ----... EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date:
�1:.c,la4 9/30/71 Number: 72
Billing
Name• Martln Shields Site Address: 13 1tnn . Li, PyLcl 55121
Owner: Kama
Billing Address
Plumber Ro Koehnen
Size
Meter — Connection Chg.'_ UA
Location of Connection �0�U0 Pa 930/71
Meter No. Permit Pee 1
Meter Reading______ Meter Dep. 0 / t / 7 1 71
Q Meter Sealed: Yee__ Add'l Chg.,� ---
/ Total Chg.
1 a �` Inspected by
tea.
Date 1 ..
•
Building is a: , Remarks:
Residence x
Multiple _ No. Units $25.00 RE INSPECT.O;! FE FOR
IMPROPERLY INSTALLED , E Ei.S.
Commercial
Industrial By:_______-------------_
y 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 e i the rules and
regulations of Eagan Township, Dakota County,
ltoy KoeLnen
Please notify the above office when ready for inspection and connection.