Loading...
3941 Riverton Ave - Tie In Card EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111. Telephone 454 -5242 PERMIT FOR WATER SERVICE CONNECTION � �. $� Dater ,--. — Number: ` (� I 964 _ A 'Site Address:"� r. Billing Name )� � C1`) i 4 k �� Owuer ✓ � \`T P ' '1 Billin Address i ) if %? C [,.) f l 1 `" _moo '� 1 V i 1.1 LI n - 4 ,c. L Plumber: ``� (-- a J t \ 7 r t Connection Chg. l .DO . 29/72 Location of Connection Meter Size_ Meter No.____. Permit Fee1 0 .00 d 8 2 2 . I Meter Reading____ Meter Dep. Meter Sealed: Yes__ Add' 1 Chg. �_- NOT Total Chg. 0 0 2- pr3 7 Inspected by Date a _ _' �' Building is a: Remarks: Residence � Multiple No. Unit Commercial Iadustrlal Hy' Chief Inspector Other ..,,.,, is consideration of the issue and delivery to me of the above permit, I -reby agree to do the proposed work in accordance with the rules and egulatioas of Eagan Township, Dakota County, Minnesota. lease notify the above office when ready for inspection and connection. i