3851 Palisade Way - Tie In Card EAGAN TOWNSHIP
3795 Pilot Rnad
St Paul Minnesota ob Ro 5
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: '1 /20/73 (12/29/72) Number: 1122
Billing Name:Ceder Grove Conatruotion CcSite Address:-"?..4.11- 1851 P'1ignde 1fay
Oar; aama Billing Address
Plumber: 3tein'a
Location of Connection Meter Size Connection Chg. 300.00 pd 3/20/73
Meter No. � _ Permit Fee 10.00 pd 12/29/72
io� •50 pd 12/2 °112
Meter Read Meter Dep.
Mater Sealed: Yea Add Chg.
, Z.. , NO Total 'Chg.
>, 47
Inspected by
Date ' /7 ' 7' .
Building is a: Remarks:
Residence` _
Jo I'.-1,w 1 FEL i;.
Multiple No. Units ii, i1 f3 ' : 1 I� CD IkICTEF.S
Commercial
Industrial ^ By:
Chief Inspector
Other _
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tie proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Stal n' a
Please notify the above office when ready for inspection and connection.