1721 Monticello Ave - Tie In Card
MAN TOWNSHIP
y} 3795 Pilot_ Knob Road
St. Paul', Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: ri X Number 9118
Billing Name: Site Address;
Owner: Billing Addrea l ~
Plumber: t
8/22j'j2'
Location of Connection meMeteriSize Connection Chg.
Meter No. Permit Fee 1000 pd 022/72
22/72 a/o
Meter Reading— Meter Dep.
Meter Scaled; Yes- Add'1 Chg. `
b NO Total Chg.
Inspected by
Date /3 7 7/
Building is a; Remarks:
Residence !
Multiple No. Units
Commercial
Industrial By: Chief Inspector
Other
In consideration of the issue and delivery tome of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County. Miuneao r'
Please notify the above office when ready for inspection and connection.