3949 Palisade Way - Tie In Card
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota' 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: -7,--:), Number: Mist 1053 t
Billing Name ~ llt) P~~JN ite Address IC 1
Owner: A Billing Addresal Of'~~.~
Plumber:
Location of Connection Meter Size Connection Chg. 00 rl_ 1/17/72
Meter No. Permit Fee 1100`11/17/72
•5~{Pd11/17/72
Meter Reading- Meter Dep. K Meter Sealed: Yeas Add'l Chg.
Total Chg.
k
Inspected by
Date
Building,is a: Remarks:
Residence got
Multiple T- No. Units
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 wofk in accordance with the rules and
regulations of Ragan Township, Dakota County, Minneao
Byj i`@ 1 f f\?~ }P
Please notify the above office when ready for inspection and connection.