2975 Pilot Knob Rd - Tie In Card 7-o Lo ..t o R r 11,0 Arrill'/
Q 6.1z ¢e9 r a 9 71 p'104- /6',.)-t) 86CAN TOG11;1SN7P ��.. � - .ct Sc'fti
' :; 3795 Pilot Knob Road 1
S. Paul, Minnesota 55111. 0 a , S £ ag, a ,.,( -e. 0 YL:
Telephone 454-5242 � „ „
'PERMIT FOR WATER SERVICE CONNECTION �{��• fnT
Date: Sept. 18, 1972 Number: 98h
Billing Name: " Hines, ene'P. Site Address: 2975 Pilot. Knob Road. K,.5121
Owner: aama Billing Address
Plumber: same
y 1'
Location � of Co ctiou ¢i Meter Size 5/1i Connection Cbg.300.00.pd 9/18/
, Q`-4.- • * _P ` 5373666 AOOt. Del). 14 .00 i3 9/18
.r/ Meter No 222221465 Permit Fee 10.0 pd 9
1F3 t /
Con arhorn e. (j - p 1 y 9 fi $
M eter Readiap,�00,60:1 Measm•D
��pe y 4/1, ) ter Sealed: Yea i�Chg.
2g--' 41, NO Total Chg. 403.50 psi 9/18/
1.1 t/ Inspected by
Po w /� yo Date 9-27 —
P v'
ip K ot
Building is a: Remarks:
Residence,, ` ` $25.00 RE-lf■SPECTlON FEE FOR
Multiple„ No units, IMPROPERLY INSTAU.ED 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 accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.� /
By: t7u.P1.,.. a. P /f1 fi■?e'er
tegtu►a P. Hines
Please notify. the above office when ready for inspection and connection.