1746 Sartell Ave - Tie In Card EAGIN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: 1 /73 Number: 1
Billing Name: ,% i Site Address - 1
Owner: Billing Address' 1.46 A `Te ii_
Plumber: • ��k c..
Location of Connection Meter Size Connection Chg.
Meter No. Permit Fee ; ; ';::
r :
Meter Reading Meter Dep.
Meter Sealed: Yes Add'l Chg.
NO Total Chg.
r
Inspected by
Date
Building is a: Remarks:
Residence
Multiple No Units 1 500 C' •.
Commercial
Industrial By:
Other 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 Eagan Township, Dakota County, Minnesota.
By:
Please notify the above office when ready for inspection and connection.