1065 McKee St - Tie In Card "�•,�, EAGAN T OWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION Number:
Date: �'� '/� � /
Billing Name: Site Address: // f , )V l Qe
Owner: A .g =
. , to Billing Address :5;44,
Plumber: !' r C
Meter Size S74 Connection Chg.
Location of Connection ,y, I-1 ,
Meter No.673751 7 Permit Fee
Jo h( Meter Readin___ Meter Dep.
h� Me ter Sealed: Yes Adel Chg.
Total Ch
'\ 1w� -,
NO g• -- --
37
1 Inspected by
et,w ( /
64. Date ) /h' /1 /n
Building is a: Remarks: /1/1(,
Residence J
Multiple No. Units
Commercial
Industrial BY' Chief Inspector
Other _______
In consideration of the issue and delivery to me of the above pernit, I
hereby agree to do the proposed workinoacco, dance with, the rules and
regulations of Eagan Township,
By:
Please notify the above office when ready for inspection and connection.