3996 Palisade Way - Tie In Card EAGAN TOWNSHIP
m . - 3795 Pilot Knob Road
; r.
St. Paul, Minnesota 55111
Telephone 454 -5242
' PERMIT FOR WATER SERVICE CONNECTION
Date: i Number; 9119
Billing e. 14't\ t. ( \....\ , Site Address : ( r�)� fl L .
Owner: } l 'l. .,' �_ a Billing Address ' / ' �' '�(l'i. l' '
$lumber: � L
Location of Connection Meter Size Connection Chg.300.0 pd 8/2
.�_
Meter No. Permit Fee 10.00 pd 8/22/72
.50 pd 8/22/72 4./c
Meter Reading_ Meter Dep.
3b 9 Mete Sealed: Yee_ Add 1 Chg.
' / •• -5.- ND Total Chg.
Inspected by
Dat 3 444p ,, /_/1_ 7 Z ___ ,-
Building in a; Remarks
Residence roc , '
Multiple . No. Units
. Commercial
Industrial By:
Chief Inspector •
- Other r.�.�_
In conaideration'af the issue and delivery to me of the above permit, I
hereby agree to do tbe: proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnsto
By:( . kt.carP \_21,\ -- (
t) CI 1k V.A ( ' r - t I \ /'\
Please notify the above office when ready, for inspection and connection.