3908 Palisade Way - Tie In Card y /6>(0
i� EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PEB�p',T FOR WATER SERVICE CONNECTION
� i 1008
AaCe: I( /�0 � J� /, �
BilliagName:0 _.aa2y -A .t\ • `r: Site Address e/ < !" k(3.� f)) L,
Owner:. . J �.r ll►°.. . _ Bi111ng Address l . -3 CAS. L ,() •1
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P1 bes: �.i�l Q,' 1 14e
Location of Connection Meter Size Connection Chg. 3 pa 10/1
Meter No. _ _ Permit Fee 10.00 1N.10 /10
„1,40 p,3 10
Meter Reading_ Neter Dep.
`, ,D Met::': Add'1 Chg. Total Chg.
a /O. 7- 7 2
Building is a: Remarka:
Residence x ,
Multiple No. $25.00 RE4NSPECIION FEE FOR
IMPROPERLY INSTALLED METERS.
,. Comme rcia l
Industr By: Chief Inspector
Other
In conaideration of the issue and delivery to me of the above permit, I
hereby agree to do tin proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesot
A
Pieaae notify the above office when ready for inspection and connection.