646 Rita Ct - Tie In Card _ •y ..
^' ''� EAGAN TOWNSHIP
.:- ;- 3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERITLT FOR WATER SERVICE CONNECTION
Date: April 14. 1471 Nuaober: 570
Billing Name: Doug's.. M Schaaf Sit Addreaa: 646 Rita Court, Eagan 55121
Owner: saes ' Billing Address ►saw.
Plumber t aus
Lo
ocation of Connection Meter SizeS /B Connection Chg. 266.00 od 4/14/7
actow deposit 15.00 p d 4/14/71 1
Meter NoI732712 Permit Fee 10.00 pd 4/14/71
Meter Read1 1np 11 Meter Dep.
` Meter Sealed: Yee Add' Chg.
' ' NO To Chg.
/�- In by
�7`a Dace I.
it- i/
Building is a: Remarks:
Residence
Multiple No, Units! $25.0 �i.1 2 ;�FECT'ui , 1 FEE FOR
' 'Coo.ae IMPROPERLY INST METERS,
Induatrial 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. "
y,
Douglas M. Schaaf
Flews notify the above office when ready for inspection and connection.