1722 Sartell Ave - Tie In Card c'UI
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 5511.1
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
, 1084
Date :
N:mober `
Billiat Name:
R(`Q t1( Site Address: � ��
�
Owner: 7" Billing Address it () i1
1l\
Plumber: A,' r 1" C
Location of Connection Meter Size _
Connection Chg. 300. nci 12/11%12
Meter No. Permit Fee 10 00 1' 11/'72
O Pxl 12/11/72 a /o
Mater Read/ np� Meter Dep.
Meter Sealed: Yes gdd' Chg.
WO Total
III/ Chg.
I I I /
Inspected by
Date 17 -7 -
Building
iii a: Remarks:
Residencs
Multiples ,: No.. Unite
Commercial ._.
Industrials By0, Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tlie proposed work in accordance with the rules and
regulations of Sagan Township, Dako� County MinnBa y_' � °`� A
4111111 411
Plastic notify ` the above office when ready for inspection and connection.
Fi