1713 Monticello Ave - Tie In Card EAGAN TOWNSHIP
3795 Pilot'I(nob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
FESk1IT FOR WATER SERVICE CONNECTION
Date: [, Number: 989
Billing Name? ! ^t ' Site nr ■Site Address:t7 / :°
owner; r Billing Addrees l(�l�li
Plumber: Y l (L4// .
—
Location of Co ctIoni Meter Size Connection Chg. 3. 1i 9/19
Meter No. Permit Fee 10.00 pd 9/19/72
• Meter Reading Meter Dep.
.50 pd 9/19/72
. Meter Sealed: Yea Add'l Chg.
8
3 r Total Chg.
•
Inspected by
Date /D
Building to a:. Remarks:
Residence ##
Mul tiple No. $25.00 RR.;I"ISP£CTION FEE FOR
Commercial {MPROPERLY INSTAUED METERS.
Industrial By:
Chief Inspector
Other
In consideration 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, Dekota`County, Mlnnes t
Please notify the above office when ready for inspection and connection*