3220 Random Rd - Tie In Card u r.'. ..
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PEENTT POR WATER SERVICE CONNECTION
Date: April 19.'1971 Number 577
Billing Name: James D. Peterson Site Address: 3220 Random Roed_ FRzAn 551
Owner: same Billing Address some
Plumber: McQuillan - D. Schaaf
Location of Connection Meter Size 5 8 Connecti
Chg. 260.00 od 4/
Acct Uep . 15.00 pd 4/
t er No. lr 21294452 Permit Fee 10.00 pd 4/
. No. u ya
i ii. � K.0 Meter Readin0 Meter Dep.
! �
a l Meter Sealed: Yee Add'1 Chg.
I/1
N.
N0 Total Chg.
yy
Inspected by
eA)D6a.t gi) Date r —/5 2/
Building La a: Remarks.
Residence $25.00 RE•INSPEul,t.. i.... ,.':i
Multiple No, Units _ IMPROPERLY INSTALLED METERS.
Commercial
Industrial By
Other Chief Inspector
_"'—
In consideratio of the ieaue ad deivry to me o t he aboe peri I
h n ereby agree to do tte propose
d wo
rk in accordanc e w the e rule
s a
regulations of Ragan Township, Dakota County, Minnesota.
By:
John B. McQuillan
Please notify the above office when ready for inspection and connection.