2981 Pilot Knob Rd - Tie In Card
EAGAN TOWNSHIP
3745 Pilot Knob Road
St. Paul, Minnesota 55111
v..-^ Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: A-3-71 Number: 665
Billing Name: :eorge Williams Site Address:2961 Pilot Knob
i
Owner: Billing Address /
Plumber: Ron Kisling
pd
Location of Connectio Met r Size Connection Chg.. r
9495 Kai 9uC '4tf Account ,Deposit 19.00 pd 8-3-71
Meter No, 21508258 Permit Fee 10.0{1 pd 8-43~7 m .1, pd S-3-711
Meter Reading`0000 Meter Dep.
a ss 8.00 Pd b-3-71r-
Meter Sealed: Yea Add 1 Chg. 1
Dh NO Total Chg._. i
- Inspected by<• ~J
Date Q• ~o' 1~
Building is a: Remarks-
Residence X
Multiple No, units $25.00 RE-INSPECTION FEE FOR 1
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 tie 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.
/f