4060 Magnetite Pt - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: f // Number: F1 s
1d - 5.7
Billing Name:'
Site Address:
Owner: Billing Address '
Plumber:
Meter Size Connection Chg. -•� 5/
Location of Connection — .--- --
Meter No. Permit Fee. O3 p 5/
Meter Reading Meter Dep.
Meter Sealed: Ye Add'1 Chg.
ftV7
v NO Total Chg.
Inspected by /1-
Date s r -7`
11144. Remarks:
Building is a:
Residence x oc
Multiple No. units $25.00 RE IN3, -
Commercial
IMPROPERLY INSTALL, u
Industrial By: Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do th 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.