1560 Lone Oak Rd - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Jung 3. 1969
Number• ,n-,
Billing Name: Jo Inc. Site Address : ,
Billing Address 9,17 r , (,,.
Owner•. Y1ingtan t AT ,1 (
Plumber: o-ir-ri Trennlrina
J
( bunts 2 -�,00
M eter Size Connection Chg '�
Location of Connection : acct. t p
Meter No.
Permit Fee_____ 1. d.
i llill
Meter Reading,__ Meter Dep.
#4.2-, Meter Sealed: Yea Add'l Chg.
\ , + NO Total Chg.
Inspected by `7
6 1 V /0
,• .. Date
Building is a: Remarks: 6X_.
Residence
Multiple x No. Unita r
Commercial
Industrial BY' Chief Inspector
t
Other _
In consideration of the issue and delivery to me of the above permit, a
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota Count Minnesota. `
By: 7 C if
r-21 -. /, , /, , C7 .+ ..,/f ✓ '
Weisrkc2Tr. nehir,g
cwsemount, ' 7:ut+
Please notify the above office when ready for inspection and connection. b