2860 Sibley Hills Dr - Tie In Card EAGAN 'TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone ,454 -5242
PERMIT POR WATER SERVICE CONNECTION
Date: Oetobyr 6. 197 1 Number: 728
Billing Name: Eugene Bader Site Address: 2860 Sibley Nil'}n Drive
Owner: seine Billing Address Same
Slumber; Dakota Minnesota Coast. Co. - Gordon Bjornson
Location of Connection Meter Size Connection Chg. 280.00
Read Out 5 Aoot. Dep. 15.00 ,'.
44 "/ Neter No. 21604181 - Permit Fee 10.00
S.C. .50
Meter Reading Meter Dep• ,
ro rhgrn
� � _ _ Meter Sealed: Yes Add'1 chg.- 8 . 0 0
L NO Total Chg. 313.50
0 4,4 Inspected by
5/01. N, tL$ nc Date
Building is a: Remarks:
Residence '*
ECllOD1 FEE
Multiple No. units RE•IN FO
Commercial �
- .-- 2,94 RLY tNssALLED METER
14E
Industrial By:
Chief Inspector
Other
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:
GordonBiornsoa
Please notify the above office rhea ready for <inapection and connection.