3942 Riverton Ave - Tie In Card EAC TOWN
3795 Pilot 1Cn
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: i IQC'( , Number: 1105
i� f"I f � __ / jT
Billing Name 1 . '���j�� Address; " � �Il l(�t'It,�1 � � .
O ( \ /1 \\ ' ,•- — Btlliag Address ", LI J \ ) 1" t �� f r ' ft"� L 1 „ I ,
Plumber: 1 1'■
Location of Connection Meter Size_ Connection Chg.3U P1 12/29/72
Meter No.-_,---- Permit Fee 7 0•OO t. 12/29/72
. 50 pd 12/29/72
Meter Reading Meter Dep.
if
Meter Sealed: Yea Add'1 Chg.
NO Total Chg.
Inspected by
Date 2-13 73
Building is a: Remarks :
Residence u
Multiple No. Units
Commercial
Industrial,. By: Chief Inspector
Other
In consideration of. the issue and delivery to me of the above permit, I
hereby agree to do tbe' proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County Minnesota ). �,
By: (J( )CN \ f\
Please notify the above office when ready for inspection and connection.