1746 Meadow Lark Rd - Tie In Card ' E GAN TOWNSRIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Name:L ' 19I2 Number: - . . �_oi3 -
Date: .1l Site Address:-.)'-'"
ddress _ -Z^'►
Billing Billing Address ,
g. ua
Owner: y;,tin
Plumber: l,,,iex.:u Trui,,o to
Connection Chg._____ __1
Meter Size J 1
of Connection �� '
Location 7 , j / Permit Fee 6 Meter No- - •� --
' Meter Dep:
36 Mater Readin -�—
Meter Sealed: Yes__ Adel
6" NO,. Total Chg• —�
Inspected b
Date
Remarks:
Building is a:
�c
a To.m.e.4 u.$ ,03 1E 1:17FrT',On ITC FOR
Residence__ uLY UCIALLE0 I'f�L ERE.
Multiple
N o. unite UP ROPE .
Commercial actor
BY Chief Insp
Industrial
Other._,_,_.. -_
In delivery to ms of the above I
work in accordance with abo rules and
hereby agree ton of le is ve Pe
sue d
ro reed sore.
he agree to Jo TowashiP, Dakota County, Minnesota.
regulations of Bag a
Please notify
the above office when ready for inspection and connection.