3896 Riverton Ave - Tie In Card Y
3795
FAG
or 1WNSHIP
S1. Paephone ul < 454 Knob Road
naea 5 2 4 2 111
Te l; -5242
PER gT POR WATER SERVICE CONNECTION
Dater - 6/414 (199
Number
Billing Name;Cedar Oro Cons tier:: Site 3907 Ri
Site Address; 9 vereo qv • 7-3-8
Owners same
Billing Address
Plumber: 9t
Location of Connection • Meter Size Connection C . i.._''
hg = p_ 6/4/73
Mater No. � Permit Fee 10 .00 pd 72/29/72
&ter Readi 9/(2
u -,_ Meter Ch8e
Meter Sealed Yea.... Add'l Chg.
V 3 Total Chg.
Insp ected by
Date � _......7
, Building
.
R s
No Units
' ;
Comme rciah . � $25.QO:RE- !N�'PECTlON'FEE FO
Indus h . _ 8 IMPROPERLY INSTALLED METERS.
Other y.
Chief Inspector
In c° the issue a ad delivery tome of the above pert 1
hereby agree to do t he proposed work is accor with the salsa and
regulations of Eagan Town ship, Dakota County, Minne sota.
By:
te
Please aotiiy the above when ready for inspection and co
nnection.