3990 Riverton Ave - Tie In Card Z .
• : EAGAN- TOWNSHIP
3795 Pilot Rnob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT POR WATER SERVICE CONNECTION '
Dte: 14/2I;/73.(12/29/72) Number: Xddc8* 1167
. ..,
Billing Name :Ceaiar Oraru Candtruotion Site Address:- <S- 4
'Owner: "stnna Billing Address 399u Ftivar°ton Avbnuo ,
Plumber • Btroia'a
Location of Connection" Meter Size Connection Chg.' 1
Meter No. Permit Fee10.0b rd 12/ ?7/72
Meter Reading Meter Dep. •'C >a 12/29/72
Meter Sealed: Yea Add'l Chg.
Sj
3 1 �� NO Total Chg.
Inspected by
Date N I ... 7J
Building is a: Remarks:
Residence
MultipleY No. Units $25.00 RE- WSPE
Commercial CIIOIJ FEE FOR`
IMPROPERLY IPISTALLED EIETERS.
Industrial By;
Other Chief Inspector
In consideration of the issue 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:
Strir4
Please notify the above office when ready for inspection and connection.