1714 Monticello Ave - Tie In Card EAGAN,TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone, 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Number: 966 )-11
Billing Name Aka criU( • �t;ite Address: l - 7 /4 i 1 i( (4/0 •
Owner: * (' C" s O ' 1 Billing Address R �. {
Plumber: i F: i1 I`"I1I Jl) •11 Cl� Si,') �� `'lit { k it (2)
Location of Connection Meter Size Connection Chg. itik t$ 8/29/72
Meter No. Permit Fee 10.00 Sri 6/29/72
Meter Reading Meter Dep. .`5U 144 u ) /Y2
Meter Sealed: Yeas Add'l Chg.
NO Total Cbg
Inspected by
Date /0 /7 < 7 7
Building is a: Remarks;
Residence )
Multiple No, Unita
Commercial
Industrial By:
Other Chief Inspector
In consideration of 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 Townahip, Dakota County, Mlnne
2 (X . )\
Please notify the above office when ready for inspection and connection