4030 Pumice Lane - Tie In Card t EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Peul, Minnesota 55111
Telephone 454 -5242
PEPII T FOR WATER SERVICE CONNECTION
Date: April 7. 1971 Number: 57 6
21 -2 -7
Billing Name: Cedar Grove Cnn t. Co. Site Address: 4030 Puratca'Lane'
Owner: Sams Billing Address 7343 Concord Blvd, U.
South St. Paul, Minn.
Plumber: Stein, Luc. 55075
i Location of Connection Meter Size Connection Chg. 240.00 fttd 4
10.00 pd 4
Meter No. Permit Fee
41 9
Meter Reading_ Meter Dep.
si 41r::i—"'"..
■ Meter Sealed: Yea Add'l Chg.
NO Total Chg.
Q. 37 �
Inspected by
"".------A
PilMICf Date �.— /L— 7 r
Building is a; Remarks:
` •
Residence
Multiple units
e __,< No. X25.00 RE INSPECTION FEE FOR
_ IMPROPERLY INSTALLED METERS
Commercial
Industrial By:
Chief Inspector
Oth
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tte` proposed work in accordance with the rules and
regulations of Eagan Township, "Dakota County, Minnesota.
B CEDAR GROVE CONSTRUCTION COMPANY
Pleaae notify the above office when ready for inspection and connection.