3998 Riverton Ave - Tie In Card . EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT'POR WATER SERVICE CONNECTION
Date: ,Number: 932
filling Name . . r 1. % . ( Site Addre8s: 't � c i k 4. , t 'r\ (..)'(z..
O w n er: �, ti 1' l' r.- B illing Addres / . 3( t — L ri ` . ' (, ` r - C
Plumber: u I \ i c ^^." ))-1,- 1 1^ • 1) i }l •�•
. 3
Location of Connection Meter Size Connection Cbg.,11N1 no D•1 8/16/72
Meter No.................... Permit Pee 1n.(Y? 6/
*.d x/172
Meter Reading Meter Dep. 8/16/72
�
� �' a Meter Sealed: Yea Add' 1 Chg.
No Total Chg:
. 0.
Q Inspected by
ivP/ T 4, Date
Building ie a: Remarks:
Residence :oc .
Multiple __ 'No. Anita
Commercia
Industrial By:
Other Chief Inspector
In consideration of the issue and delivery to of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Sagan Township, Dakota County Minnesota. ( (,
1
,Please notify the above office when ready for inspection and connection.