2865 Pilot Knob Rd - Tie In Card l
EAGAN TOWNSHIP , C_7"_N
,�, 3795 Pilot Knob Road {,A� e1 r -.
St. Paul, Minnesota 55111 �{/ J
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Marnh A. 1969 Number: 68
Billing Name: Lawrence Oster Site Address: 2tl4 Pil %ob Road 55 118
O wner: Same Billing Address Slaw
Plumber:
Location of Connection Meter Size t /4'
Connection Chg. #� Pd•
Meter No. 6 t93 Permit Fee 7.50
$ Meter Reading /// Meter Dep.
'f Meter Sealed: Yea Add'l
tof
NO Total.
Chg• -
ac' �O� ���
f� "", amt �-
�`b T inspected by
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pox Date 3kI L $
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Build Log is a: Remarks: c ,
Residence
Multiple No. Oaita
Commercial
Industrial B y' Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit. I
hereby agree to do tte proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
BY:
Please notify the above office when ready for inspection and connection.