3941 Palisade Way - Tie In Card ` .. ; ' EAGAN TOWNSHIP
3795 Pilot Knob Road
St, Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Number: 951
Biilinp . Na m , \ . f � 1 � L Q \.t % Site Address; s -S // J , - i U L.1 ") i L b (
Owner: \,( 1 ( 14) ` 0 >-.i Billing Addreea /J{ ^ 1. %• 1 () i,; i
Rlumber: l t ;Is.' • i' 4' c d ,,,),,,k• t�ct�tJ / , i ri' J
Location of Connect on • Meter Size Connection Chg. 300,00 rn1 8/22/72`
Meter No. Permit Fee 10.00 x1 8/22/72
Meter Reading____... Meter Dep. 8/22/72 a/c
P Meter Sealed: Yea Addtl Chg.
r
31 3 NO Total Chg.
Inspected by
Date /P — /? -- 7 v
Building is a: Remarka:
9es-1deoca 3Q[ 1',."
'
Multiple No. Unite_
Commercial
Industrial By:
Other Chief Inspector
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 Eagap Township,' Dakota County, Minnesota. >'
By:
Please notify the above office •when ready for inspection and connection.'