1589 McCarthy Rd - Tie In Card EAGAN 10WNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date : -4. 'ii_
Number:
Billing Name: • ' " I -•
Site Address: Ind !'fn��MjL y .
Owner: •
Billing Address
Plumber:
Locatio - C.., ctioa Meter Size
Connection Chg
Meter No. Permit Fee
Meter Reading_ Meter Dep.
Meter Sealed: Yea Add'l Chg.
NO Total Chg.
Inspected by
1 /
Building is a:
Remarks:
Residence
Multiple No. Units $25.00 RE-INSFECI1UN IL: FOR
Commercial OAPROPERLY INSTALLED METERS.
Industrial
By:
Other Chief inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the 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.