4007 Pumice Lane - Tie In Card j
:,,i EAGAN TOWNSHIP
3795 Pilot Knob Road 6 - -
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: M.. 92„ 107, Number: 8h6
Billing_ Name: f:v,aar arnvn rnMAt rn Site Address: inn/ p,,rni rn T ann
Owner: Cw3ar rrrnve rnngtructinn rn Billing Address 7aj1 Cnn R1v,i rr
Plumber: Stein Plumbing
•
Location of Connection Meter Size Connection Chg.iWW PI 5/
Meter No. Permit Fee 10.00 Pxi 5/25/72
•50 pa 4/o
Meter Reading,,__ Meter Dep.
Meter Sealed: Yes Add'1 Chg.
\ T J
. NO Total Chg.
Inspected by
p,,,«e Date s —/t 7
Building is a: Remarks:
Residence so:
$25.00 f ill :PECTlON FEE FOR
No. Unite_ IMPROPERLY INSTALLED METERS.
Commercial
Industrial � By:
Other Chief Inspector
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 Towuchip, Dakota County, Minnesota.
By: Cedar Grove Conatruotion Company
Please notify the above office when ready for inspection and connection.