1741 Sartell Ave - Tie In Card f
/
.
EAGAN TOWNSHIP f
•",' ,a. 3795 Pilot Knob Road
St. Pal
u, Mnnesota 5 5111
Telephone i 454.524
' FOR WATER SERVICE CONNECTION
Date; , Number: 1025
Billing Name; h b 1� o.�P t. +r Site Address :l f/ / j � �i - k/l l (,),'PL4 <. •
Owner; r 'Y � . /�- B illing Address i = N1 • 1. - I ',`a � t � " e- a
4
Rlumber: ( : • 1 " \ , i » k(-- --
Location of Connection Met Size Connection Chg.3W.O pd 10/25/7
' Mater No. Permit Fee 10.00 pd 10/25/72 ' .
v 316 , u/ 2 5/72 e/ 4 Neter Reading__ Meter Dep.
Meter Sealed: Yea Add'l.Chg.(� ND Total Chg. 1
• Inspected by
--" are 1/—/,3 — 7 7i
Building is a: Remarks:
Residence xx
Multiple No. No.` Units _
Commercial
Industrial By:
Other Chief Inspector
Inconsideration of the issue and delivery to me of the above permit, I
hereby agree to do tha proposed work in accordance with the rules and
regulations of Eagan Township, Dakota C un ty, r
By. Q ) 1 a a. Ye r
r �
Please notify the above office when ready for inspection and connection.