1738 Sartell Ave - Tie In Card °*. w EAGAN TOWNSHIP
L , x 3795 Pilot Knob Road
�8t.`Paul,Minnesota 55111
r Telephone 454 -5242
,PERMIT FOR WATER SERVICE CONNECTION
Date Number: 991 / .
Billing Names .J{ !(�'i ^i (\ /� Addreas:
I)
Owner: , T./ v . Billing Address ) — / 'N, , :'r -f, ��;'Et."
Plumber: r► F t ` 1 1Y/ , - ,
Location of Connection Meter Size Connection Chg3W 9/199fl '
Meter No. Permit Fee 10.00 9$1i 9/72
.0 9 /l9/'I2
Meter Reading Meter Dep.
Meter Sealed: Yea_ Add'l Chg.
4
T
�a
3 NO Total Chg.
Inspected by d
Date - P ? '•----
Building is a: Remarks:
Residences $25.00 RE- INSPECTION FEE FOR
Multiple No, Unite .. IMPROPERLY INSTALLED METERS .
. Commercial
Industrial By,:
Chief Inspector
Other
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, MinnesRt 1
Please notify the above office when ready for inspection and connection.
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