4062 Magnetite Pt - Tie In Card EAGAN TOWNSRIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: -WA Number: 9113
., y 4 ) /I 1 i T L
Billing Name: �F!� '
1 c G C<�1� Site Address: �� � % 1 r G
Owner: '� : t ,'� \ - { r . 1- ' Billing Address 1 - 3 / 1 � t ���� ` ji .
Plumber: ^v_ r-- 001 rr ' .
Location of Connection Meter Size Connection Chg. SG.d.i•0 rd 9/1'
Meter No. Permit Fee 1i•GJ ,'d 9/13/72
. u ;1 9/
Meter Reading_ Meter Dep.
/0 Meter Sealed: Yes Add'1 Chg.
y o �� NO Total Chg.
6 � 7V
Inspected by
Date q - 7
Building is a: Remarks:
Residence xc
Multiple No. units $25.00 RE- INSPECTION FEE FOR
Commercial IMPROPERLY INSTALLED METERS.
Industrial By:
Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do CUs proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
CT it I
Please notify the above office when ready for inspection and connection.