4100 Meadowlark Lane - Tie In Card
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: July 12, 19(2 Number: 690
Billing Name: -is3ila~zdF.le b1da. 2 Site Address: la7ix)_:J2-(i:-c _Gr,'-1r,_7?.U
t 15-1 fi
Owner: e.~ue Billing Address
Plumber: U i+rite irsn h~ i> & Eaoav tirtg
tion of Co ction Meter Size Connection Chg.
Meter No. / 9,14 j' Permit Fee
Mater Readina~ Meter,agp.-
r`
Meter Sealed: Yea Add'l Chg.
NO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence
Multiple x No, unita10 Tawny lous$25.00 REIN SPECTION FEE FOR
Commercial INPROPEFLY HISTALLED 1JETERS.
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:
W.sierlce `i'ragateiri ,LL. 1 tuul ~.t
Please notify the above office when ready for inspection and connection.
