3859 Palisade Pt - Tie In Card _ s
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul , Minnesota 55111
Telephone 454 -5242
PERIUT FOR WATER SERVICE CONNECTION
Date; 5/15/73 (12/29/72) Number: 1201
Si111ng Name: Oder 4r w ...sr- �' "'$'
9 S7�etr�anti rap polite Address: '
Owner: eralte Billing Address 2859 Paltaada Point
1111m:ber: It.;In's
Location of Connection Meter Size Connection Chg. l^d).(k) ■,�
5/15/T3
Meter No. Permit Fee i0 /
i - Meter Readip& Meter Dep.
Meter Sealed : 'Yes Add'l Chg.
9 `
° w 4:, NO Total Chg.
Inspected by
Date I -/S - 3
Building to a: Remarks:
Residence Ax:
Multiple__ No Unite t.i I1 - `� _l r :fi: 1l,'. i
Commercial rltir �..� t e i, ti. ra frr . TC : _;o
Industrial By:
Other � Chief Inspector
In consideration of the u ses and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance wlth'the rules and
regulations of Eagan Township, Dakota' County, Minnesota.
By:
Bte,LA' e
Please notify the above office when ready for inspection and connection.