2970 Pilot Knob Rd - Tie In Card •: EAGANrTOWNSHIP
3795 Pilot Knob Road
"• St. Paul, Minnesota 551.11
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: P, i8. 1472 Number: 945
Billing Name:Floyd Dean Site Address 2970 1 °4 K+wb Ra»d
Owner: nnrw Billing Address
l'lumber:All•Stete Plumbing Co.
3D9 CG
location of Connection Meter Size 5 Connection Chg.: 8/14/7
5325792 10.60 = Pd 8/23/72
Meter No. 22117938 Permit Fee
,yu - pa 0/
Meter Reading,_ Meter Dep.
ae Meter Sealed: Yes Add'I Chg.
ND Total Chg.
4(
- 't".„-• Inspected by
Gvt.liti hhlq T 7Opn, Date - 2- V - -
Building is a: Remarks :
Residence _ $ 25.00 RE- INSPECTION FEE FOR
Multi plel_`Mo unite,_ IMPROPERLY INSTALLED METERS.
Commercial
Industrial By:
Chief Inspector
Other
In consideration: of the issue and delivery to me of the above permit, -I
hereby agree to do the proposed work in accordsace with the rules and
regulations of Eagan Township, Dakota County, sots.
All -State Plumbing Co.
Please notify the above office when ready for inspection and connection.