3982 Riverton Ave - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
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Date: ( "31/. Number: 988 (�
Billing Nate \ - r &.1 Y\ Address: r '5 + ? - `}� l ?*i% i t C I )
Owner: , )Nn Billing Address i V � Q� ll�� f i` t i4 '
Plumber: , Of - 'LK tl fi
Location of Connection Meter Size Connection Chg. '100. rri 9/1 9/72
Meter No. Permit Fee 10.00 pd 9 19/72
Meter Reading _ Meter Dep• •SO pd 919/72
O Meter Sealed: Yes Add'l Chg.
416 /0 1 3 I NO Total Chg.
Inspected by
Date 9-- 7 7 - z/
Building is a: Remarks:
Residence
Multiple No units_ $25.00 'RE-INSPECTION FEE FOR
Commercial IMPROPERLY INSTALLED METERS.
Industrial By:
Other Chief Inspector
Ia consideration of the issue and delivery to me of the above permit, 1
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
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�'Cl 1 t� 1\J C ?r1 /L� Y( \'�
Please notify the above office when ready for inspection and connection.