3900 Palisade Way - Tie In Card it ( 0 -
=r.` EACAN TOWNSRIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
' Nu mber: 1091
Date: ® i
Billing Name L r k VP tikr\sr Site Addresa.1i I l /n Yrk ' \ P
Owner: x`7(1 V 1\e Billing Addreas'1 71 ) 1 -17'N \ r\ 1( [l((1 f,)Jt.e.1
Plumber: Il' 1 Y1
Location of Conn ction Meter Size Connection Chg.300.00 r4 12/18/72
Meter No. Permit Fee 10.00 pd 12 18/72
.s0 pd a/
, 1 � Meter Reading„ Meter Dep.
� / ,� M eter Sealed: Yea_ Add'1 ::: ,
Inspected by
Date p - ,: y 7.7
Building le a: Remarks:
Residence . i•,` : . ,.t i+ J r;
Multiple No. Units_ RO', 1 ::L Y Viu0IALLEJ MJCrE113.
Commercial
Industrial By:
Chief 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 C linty, Minnnes 4 a
Q.� tic :iai ;r'r
Please notify the above office when ready for inspection and connection.