3911 Riverton Ave - Tie In Card ,r C7 -1r) t
EAGAN 10WNSNIP
3795 Pilot Knob Road
St.Pa 5
Tele 454 so 2
PERMIT TOR WATER SERVICE CONNECTION
Date: Number: 1052
B1. _ . '� , ( ,..' '4 0 S Site Address , C 1 ° i ( 1 , ^ + F '� 1 t 1 r ,,,
Owner: ' ^. r. \ Billing Address 1 " 1 C' :i - `
T ' r 1
A . �I L' �
1' I1181ber : c: l d '�
Location of Connection, Meter Size Connection Cbg.300.00 pd 11/17/7
Meter No. Permit Pee' 10.0 pd 11/17/72
Meter Reading,„___ Meter Dep. «50 pd 11/17/72
Meter Sealed: Yes Add'l Chg.
E .
,. .+rA� 3 2 " NO Total Chg.
Inspected by
"' Data 1 (' ( 7 V
Building is a: " . � Remarka:
` ResidenceU
Nnitipie No, Units
Commercial
Industrial By:
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree t o do proposed Work in with the rules and
regulations o Eagan the Towns D C ounty , Mi a.
Please notify the above office when ready for inspection and connection.