3958 Palisade Way - Tie In Card
EAGAN TD"SHIP
3795 pilot Knob; Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Number:62 (r` 1
Date R.
h ((~1 Site Address:
~l ~..a--•~ K ( i 1r
Billing Na
t Billing Addreea
ownes:~ c ~ r,'y.
Plumbers
Correction Chg• 00.00 9/13/7
Location of Connection meter Size Permit Fee 10 00 1 72
® Meter No. 0 pd 9 13/72
Meter ReadinL_- Meter Dep.__------
3 Meter sealed: Us-„ AddChg.y.--.----!
10 - Total Chg------ -
Inspected by
Date ~'z?- 7 ~
Remarks:
Building is as
Residence xx_` ;25.00 RE-INSPECTION FEE FOR
Multiple _ NO. Units IMPROPERLY INSTALLED METERS.
Commercial
By `Chief Inspector
Industrial
other___.
I
to me of the above permit.
In consideration of the issue and delivery
hereby `agree to do tte proposed work in accordance with the rules and
hip
regulations Of Eagan Towns, Dakota Count(y*~ Minaeso[~\. `
Please notify the above office when ready for inspection and connection.