1714 Sartell Ave - Tie In Card t EAG TQFINSHIP `1
Stt 3 795 Pi lot Knob Road J
Miwnesota 55111
Paul
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
111 Number 998
P
ate:
�� Site Address: 1 � (�
Billing Name. i i ` 2 )
Billing Address
oar: 4
$lumb ..t► ■
• � . W t:, 9/20/7
Meter Size,._,..__ Connection chg.__�_,_._
Location of Connection 10.00 9 'zb /72 2
Meter No.�� Perm1C'Fee , Y 9 2b/72 e/a
Meter Reading______ Meter
Meter Sealed: Yes Add'l
(11 4' _ Total Ch8 ._.___
inspected by
• Date�
Building 18 a: Remarks:
Residence,.
.Multiple _ No. unite
Cosisercial
tuduetrisl�,,., Bys Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, 'I
hereby agree to, do tba proposed work in accordance with the rules and
regulations of Eagan Township, Dakota Qunty, M1nne o
M t r+ �
Please notify the above office when ready for inspection and connection.