1722 Monticello Ave - Tie In Card EAGAN TOWNSHIP
` " 3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: /0 �I Number:
102h
l .h '4G Q A' S it e Address:/1-1),7:4 1111,..,;. 4 i (1 ,4 ., �`��.,.
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BillingName• j�
Billing Addresa ''�',?k v �' 4 ) ,,,,
Owner: x : 1 ' . y1 t�ti � (( '
Plumber r . I t ? 1 ri\( .4
Connection Chg.3�iS. 1.1 10/25/72
Location of Connection Meter Size --
Meter No. �_ Permit Fee 10 t rd 10/25/72
.dJ (0/21.172 a/c
Meter Reading_ Meter Dep.
li
r � % Meter Sealed: Yes Add'l Chg.
NO Total Chg.
Inspected by
Date 10°27' ?Z
Building is a: Remarks:
Residence 111 \
Multiple No. Units!
Commercial
Industrial By: Inspector
Other
In consideration of the issue and delivery to me of 11e above permit, I
hereby agree to do the proposed work in accordance'with\the rules and
regulations of Eagan Township, Dakota County, Minns to
f`,� } (\,
BY: "-Uk t o h--�
i ^' ' \._ ( J \ \,
( )1' .1 f , _11 - f r \ .::. , 1
t I
Please notify; the above office when ready for inspection and co