4236 Sequoia Dr - Tie In Card EAGAN 1134INSNIP
3795 Pilot Knob Road r
St. Paul, Minnesota 55111
Telephone 454- 5242
PERMIT FOR WATER SERVICE CONNECTION
A 1112 1972 Numbers 812
De�e: �' • ,
Billing Name: m en Conatlicticl Go. Site Address: 1423 Sequoia D..1ve
owner: 'eels® Billing Address
Plumber: Ia oaken EJszava•ing
Location of Connection Meter Size^_ Connection Chg. 300.00 -d i4/12
Meter No. ._ Permit Fee 10.00 Pd 5/30172
I .yu
Meter Reading..,._ !deter Dep.
CI Meter Sealed: Tee Add Chg.
4 I rr NO _ Total. Chg.
Inspected by
Date co 31 "7
Building is a: Reearks:
Residence 3
Maltiple No. IIaita _ 11,A ?11.0PER{LY
Coppmercial
Industrial By' Chief Inspector
Other
In consideration of the issue and delivery to 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.
B - . d�o'
Lueokea Excavating
Please notify the above office when ready for inspection and connection.
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