3245 Random Rd - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: „-n-...b - - „• , 1 In Number: 1
Billing Name : .coli . Col,- :e. Site Address :3 'R (D CIOPW Rig'
Owner: Billing Address
Plumber: 1_: -,<;a 1tiub:i:.1: Co.
2 j 1 5 At t+ 2 7" - --r 7 ,
Location of Connection Meter Size Connection Chg.' — ' -' 1 2 / 10 %'
Meter No. Permit e / _
Meter Reading Meter Dep
Meter Sealed: Yes_ Add'l Chg.
I NO Total Chg.
1 .
31 Y d9...
, Inspected by
I 1 Date 3 - 7t G- 7 'j
Building is a: Remarks:
Residence
Multiple No. Units_
II, W : {3 i • . . . u i �IUSJ
Commercial
Industrial By:
Other Chief Inspector
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:
Please notify the above office when ready for inspection and connection.