1717 Monticello Ave - Tie In Card EAGAN TOWNSHIP
3795 Pilot Kaob Road
St.'Paul,'Minnesota 55111
,. Telephoae 454 -5242
PERMIT POR WATER SERVICE CONNECTION
D " (�(_ .. �^ Nuwbe {{
Billing Name. �'% � t d A) - l +- f its Address: rill ti �IN a(O1 !
Owne B Addresa IY ( . . �� 16.. cC+ /40.,
S'C
P1W a E t) \ - SL *41 � '. �`'�
Location of Connection Meter Site Connection Chgacn r,rs' H/16172
Me No. Permit Pee ln.ftCl r d 8116
.5v t,d 8!16 2 /7
Meter ter Reading.,_,_ Meter Dep.
Meter Sealed: Yea_ Add'l Chg.
NO Total Chg.
Inspected by
t y
Date / D -/�'7�/
Building is a: Remarks:
Residence nn
Multiple 10. Units
Commer
Industrial B y:
Chief Inspector
Other �_._—_
In consideration of the issue asd_ delivery to me of wi the above permit, I
hereby agree to do t1 proposed work accordance th the rules and
regulations of Eagan Towns Dakota County. Minnes
''AP a l\ \'..k \ 1 'v> ke'�
Pleaae notify the above office when ready for inspection and connection.