3889 Palisade Way - Tie In Card Y a..
'." EAGAN TOWNSHIP
3795 Pilot Knob Road
;` St. Paul, Minnesota 55111
;Telephone 454 -5242
PERMLT FOR WATER SERVICE CONNECTION
Number•. 1056
Date:J ..--
.Billing Nsme. (- Site Addraes:
Billing Address ( P ��
Owae 1 1 >
Meter Size Connection Chg,300 11/2
Location of Connection - ---- -� 11 28/72
Meter No. � Permit Fee 1D� 11 2/72
Meter Reading Meter Dep. __,.._._ --
Meter Sealed: Yea_ Add' 1 Chg._,�,_�.�._.._.
y s ND Total. Chg.
inspected by
Date 71" °
'1/
Building is-a: Remarks:
Residence xx �
Multiple No, Units
Commercial
Industrial ___' B y' C hief Inspector
Other , ^ ,_,_,_,.:
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. ,
:( )''', () t cs
Please notify the above office when ready for inspection and connection.