3974 Riverton Ave - Tie In Card 5APiN tOWnobIR
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: 6/13/73 (12/29/72) Number: 1218
Billing Name:Crlar G.090 Conotreutiwi Cc
yite Address: 5-5- 3974 Riv®rron avenue
Owner: 4 I.4it Billing Address
Plumber: Stain's
Location of Connection Meter Size Connection Chg.3nn.o( nd 6/13/73
Meter No. Permit Fee IA 12/•'i/7::
.:;ujpd Well/i2
/ Meter Reading Meter Dep.
1 Meter Sealed: Yea Adel Chg.
L � NO Total Chg.
` ") 1 161 Inspected by
Date 7 //- i
Building is a: Remark,:
Residence x
Multiple No. unite X25.00 RE ftIfiT10;� FEE FOR
_ f61PR0PEI;LY iilaT PdETERS.
Commercial
Industrial_ By:
Ocher Chief Inspector
In consideration of the leave and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By.
SLaL) , u
Please notify the above office when ready for inspection and connection.