4288 Sequoia Dr - Tie In Card NOTIFY THE REPAIR SE:RSVICE DEFT. tob
NORTHWESTERN SEEL TELEPHONE CO.
BEFORE DIQGING.
"� EAGAN TOWNSHIP
' 3795 PilotRaob - Road
S. Paul,Mlnneaota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: July 16 Number: 460
Billing Name: Delwin Radtke Site Address; 4288 Sequoia Drive . 2- 2- EVargr
Owner: Delwin Radtke Billing Address 4288 Seouoia Drive
Plumber: " Delwin Hedtke
Location of Connection Meter Size Connection Chg.260.00 pd 7/16/70
Li Account Deposit 15.00 pd 7/16/70
Meter No. Permit Fee 10.00 pd 7/16179
1 Meter Reading,___ Meter Dep.
Meter Sealed: Yea Addo1 Chg.
ay J ND Total Chg.
..s r
Inspected by
Date / x : /yO
Building is a: Remarks:
Residence 30 oOC
Multiple • No. Units
Commercial
Industrial B
Other ' Chief Inspector
In of the issue and delivery to me, of the above permit, I
hereby agree to do <tte proposed ' work in accordance with the rules and
r of Eagan Township, Dakota County, Minnesota.
By: /:/ a.r ./1. '--
Delwin Hedtke
4288 Sequoia Drive, Evergeen Park, St. Paul 55111
Please notify the above office when ready for inspection and connection.
T : i.