1717 Sartell Ave - Tie In Card I {
`., , , EAGAN TOWNSHIP
��_ ; S M 3795 Pilot Knob Road
„t. Paul. ianesata 55111
'Telephone 454 -5242
;•ERMIT FOR WATER SERVICE CONNECTION
'; Number: 108 y
C am ` : r 10 1 j� O
Di/.11111; Ne : sti ' , ii 1 1 site Address: / .---/ ` , ( 1 1 •
Owner: r Billing Address fl a l
Piuwber: t . ` IIIIIIIM • At
.r Location of Connection Meter Size ,,_,_„_
Conaectioa Chg.300.00 pd 12/11)
Permit Fee 10.00 g3 12/11172
Neter No._,,,,_,__, , .�u .pd 1?/11/72 s/
Meter Readinfi.,....._ Meter Dep.
Neter Sealed: Yea_; Add9 Chg.
s i . ' NO Total Chg. •
Inspected by
Date 1-7- 7 z
Building is a: ,Remarks:
Residence
Multiple No. Uaits
Commercial
Industrial By: Chief Inspector
O ther ,,,, . ...._,_ . . •
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((•c unt , Minne oea.
By: 'N.. 1 \4_,.., .
Please notify the above office when ready for inspection and connection.