3205 Random Rd - Tie In Card 0 . EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 - 5242
PERMIT BOIL WATER SERVICE CONNECTION 'r
Date: ARr11 16 1971 Number: s71
Billing Name: Martin Kyro Site Address: 3205 Random Road, Eagan 55121
Owner: awns Billing,Address same
Plumber: D. Sr.ha4f d MrOut11aen
Location of Connection Meter Size 5/8 Connection Chg.260.00 pd 4/16/71
Rockwall Acct. den. 15.00 pd 4 /16/71
Meter No 21294453 Permit Fee 10.0q nd 4/16/71
R,O, 1919T` QOOU
Meter Rea Meter Dep.
6 ! / p Meter Sealed: Yea_ Add'l Chg.
b NO Total Chg.
Inspected by C.
ft
ay�a r► Date a' / `7)
Building is a: Remarks: y / v 7 /
Residence uanc
Muleiple R
$25.00 RE-INSPECTION FEE No. u nits F EE F
I MPROPERLY INSTALLED METERS.
Commercial
Induetrial By;
Other Chief Inspector
In consideration of the issue and delivery to me ef 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:
D. Schaaf & McQuillan
Please' notify, the above office when ready for inspection and connection.