3209 Random Rd - Tie In Card A *
EAGPIT TOWNSHIP
`. 3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: unvPmhar 1 K 1 m, Number: 1u49
Billing Name: .U4iCh Millar Site Address: 3209 R..ndom Loud, Eagan 55121
Owner: name Billing Address
pl' Kidding
Location of Connection Meter Size Connection Chg._ r 1/15
Meter No.A066111 Permit Fee 10.00 pd 11/15/72
.1)d }fit 11/15/72
:.
Meter Readinic____ Meter Dep.
6 w 40 Meter Sealed: YsaAdd Chg. 8.00 pd 11/15/12
iiL.%.,.:,:
6D No Total Chg.
.�� Inspected by
0 6
rPt Date /4-s
Building is a: Remarks:
Residence 2C4 y`5.00 RE-INSPECTION FEE FOR
Multiple No, vntta HIkI ROPERLY INSTALLED METERS
Coaseercial
Industrial By:
Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, I
hereby agree t o ao t he proposed work in accordance with the rules and
r egu lati ons of` Saga Towa D County Mi
By:
Ron Kiaaling
Please notify the above office when ready for inspection' and connection.