2875 Pilot Knob Rd - Tie In Card '. { TOwNSRIP
t o -+7, 3795 Pilot Knob Road
St. Paul, Minnesota 55111.
Telephone 454 -5242
PIT= 10R WATER SERVICE CONNECTION
Data nom- 1472
Number: 1
Billing g Ma's O. Setxes Site Address :2_75 Pilot Knob Road
Owner:
same Billing Address
Plumber :slits Waierk Tr enching
Connection Chg. _(1, 11/2'21/7
Met Siae�- 15‘9.0 11/22/7'
Location of Connection - 4e 3�� �, r scab. Dap• 10.00 p i2 /1�Ct
"� Me No. Yermit F 1 2 2
�
Meter Reading.___ Meter Dep.-.4644-wwposmern
35 water bap
Meter Sealed: Yea Add' 1 Chg. � ...-
.� �.�..—
1.10 Total Chg...........r ---
7
Inspected by ,fir
4` �
Date /1 /4 7 Z
Building is a: Remarks:
Residence
$25,00 RE- INSPECTION FEE FOR
Multiple . No. Units IMPROPERLY INSTALLED METERS, •
Commercial
Industrial..._ By: _ • Chief Inspector
Qtber
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tbs proposed work in accordance with the rules and
regulations of Eagan Township, Dakota Coup , Minnesota•
By: Lie . ,-
ierke Trenching
Please notify the Obove office when ready for inspection and connection.