3849 Riverton Ave - Tie In Card 3795� Pilot Kno
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: 4 / 2 5/73 (
8 )lumber: 11155
Billing Name: Cedar Grove Constriu:ti I �
1111
atl C4Bite Address: le— i -i-•$•
Owner; same
Plumber• Billing Address 3849 Riverton Avenue
i 8ein!s
Location of Connection
Meter Size �_ Connection Chg �''. ,.
Mete No '
Permit Fee 10:00 12/20/(?
�� Meter Readit��: Meter Dap. 19 Pd 12 29/7:
�� /� Meter Sealed: Yes Add '1 Chg. ----
� / Total Chg,
Inspected by
Build Date�
Building is • Re au44 0.1,0 141St Residence ex � �
Multiple q 3
N
AV (,.1,7"--
o. " Dnita Of RE!!, 3
Commercial IM 'i�JeC „
■
Industrial_
Other 8y.
Chief Inspector
In consideration of the Issue and delive
hereby agree to do the ro os ry t o of the above
re p proposed work in accordance with the rules and
gulations of Ea I
gan Township, Dakota County, Minnesota.
By:
Sterols
Please notify the above office when ready for inspection and connection.