1745 Sartell Ave - Tie In Card EAGAN'TOWNS
= 3795 Pilot Knob Road
Paul, Minnesota 55111
Telephone 454 -5242
11041T FOR WATER SERVICE CONNECT/0N
Date j ®!I'n Number• 1010
Billing Name: DT Q ti Clrt gite Address : / /'Y.
Owner: ! Billing Address J � -�_ 1 .1)1 € � i'i
1/I
Plumber: . ji r. ' ./
Location of Connection Meter Siae Connection Cbg. Pa 10/10/7
Meter No. Permit Fee 10.00 pd 10/10/72
0../ pu i ul i U/72 + n
Meter Reading__ Meter Dep.
0
46"Q Meter Sealed: Yea Add'l Chg.
ND Total Chg.
- Inspected by
Date /d •■I7 -1 Y
Building Remarks:
Residence '
Multiple �� No..
Commercial $25.00 IIE- INSPECTION FEE FOR
Imuetsial
By: IMPROPERLY INSTALLED METERS,
Ocher Chief Inspector
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 Ragan Towns Dakota County, Minnesot
By: 40 0"1..w.
Please notify the above office when ready for inspection and connection.