4106 Meadowlark Lane - Tie In Card E 3795 Pil t Kno
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: " Y 12, 1972
Number: d90
Billing Name :2"u'o-ijiilla>ndrxle Ildg. 2
Site Address ni -tr_� ;_
Owner: aanu 1r_to..i� _
, , ac, rlt L. t 16 ti
Billing Address
Plumber tl ...... .... a.a L L & Lxo:.v:;tir
f Co. etion o ter Size tion f Co
Co z
.'''4
a Connection Chg.
■ ∎, Meter NO / } ,74.:e r /' �, �r ; � /� 1 Pert Fee 10,(:} /
,
�V � Meter Reading_____ Meter;�gp
� Meter Sealed: Yee _ Add'', Chg. - - - � T •
Total Ohg.
W b `' Inspected by
Date
Building is a:
i y Remarks:
Residence_
Multiple x No. Units 10 1 'ownahoua$25 . 00 RE inpr
-tfl ECTI j FEE FOR
Commercial IMPROPERLY IfUSTALLED METERS.
Industrial
B
Other
Chief Inspector
In consideration of the issue and delivery to me of the above
hereby agree to do the proposed the rules and
regulations of work in accordance with th Permit, I
Eagan Township, Dakota County, Minnesota.
By:
.;i_ke� lzenoh n�
l_
Please notify the above office when ready for inspection and connection.