1726 Sartell Ave - Tie In Card _ -10M
M.2 EAGAN TOWNSHIP
3795 Pilot Knob Road
' ' ' ' I .'Paul, Minnesota 55111
Telephone 454 -5242
`PERMIT FOR WATER SERVICE CONNECTION
Dete• i t \may 1 �]a. Number: 1057 l
Bill ing Name. ' t - ti�` �y t Site Add � �n , "TI t. hit
7 L ii t
Owner, Yy \ N ` Billing Address`, JC sl°.l'\c'C r �1 vG Je
Plumber: sZ''?1 e \ 1. t IA h\ k r\c/
Location of Connection Meter Size Connection Chg �'s.o's 1/28/7,
Neter No. Permit Tee 00 10.8
.5a pd pd 11111/74111/./7i22 G11/211111/74111/./7i22 /72 2
Meter Reading Meter Dep.
Meter Sealed: Yes Add'l Chg.
3 NO Total Chg.
rip/
7
Inspected by
Date /2 - P''' 7 •T__..-
Building is a: Remarks:
Residence mr
Multiple' No Unite
Commercial
Industrial B
Other Chief Inspector
--,..,.
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do'tIE proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Mianeso
(`� i 1 ILL -- �;} \ Y44 � � .
Please notify the above office when ready for inspection and connection.