1 River Ridge Cir - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: _ e . ,..,_ „ , iiz Number: i ..;� ,,,,
Billing Name 1 /mss =4 Site Address:I R uev►d t ! � C} % c � e..
Owner: Billing Address
Ea SS l2 1-
Plumber: __<c.- r.;i.i t us.1: _
Location of Connection Meter Size Connection Chg. , 5%- i!
Meter No. Permit Fee 1 -•
Meter Reading Meter Dep.
Meter Sealed: Yea Adel Chg.
Total Chg.
i—
Ins by
•
Date q _ 2? -7v
Building is a: Remarks:
Residence - -- ' u3 RE I{;SPEUHON FEE FOI■
Multiple No. Units IMPROPERLY INSTALLED METERS.
Commercial
Industrial By:
Chief Inspector
Other
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.