3848 Riverton Ave - Tie In Card EAGAN 1nWNSHIP q �---
3795 Pilot Knob R 7
St. Paul, Minnesota 55111
Telephone 454-5242
P EEN FOR WATER SERVICE CONNECTION Date: 4/12//3
Billing Name: , Ceds QroveC Site Number 119,t
o... tion
Owner: Address. 3848 Rlvert
Bills Avenue 1'
Plumber: $toiare n8 Addre
Location of Canna tion
Meter Size
"�-- -� Connection C
Meter Ho, hg' ••,`• .• 12
Meter Readn¢ Pest Fee 10.00 pd X2173
2 '`......... Meter Dep. T+773 a
1J� " Meter Sealed: Yea Add'1 Chg.
l 3 g 1
1K) Total Chg.
Inspected by
Build Da te y.• /f�. t
in8 a a•
Residence Jac Eemarka
Multiple N
:.
- �- �...�. o. Units
Comme
IMMPRQPERLY INSTALLED METE);S,
Industrial
Other BY:
Chief Inspecto r
etioa of aside
In'co
hercoy adr to do tithe issue and delivery to
hereby a of ha proposed work is aU a th t r
Eagan Township, County 1 with the rules I
P Dakota County,'n
;
Stan's
Please notify the above office when ready for inspection and