1847 Pumice Pt - Tie In Card . EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Pau, Minneo
s t a 5
Teleplhone 454 5111
PERMIT FOR WATER SERVICE CONNECTION
Date:_ 417.2 /70
Number: 4p7
Billing ,Name: Cx1ar Grove (`on
Co Site Address: 1b47 PuwIcr Pali ?F4 -,-
Owner: ` Saner
Billing Address 7343 Coward Etivd. F.
•. Stein In c i nn 5e.
Puul
Mino 5
Plumber 5075
Location of Connection
Meter Size Connection Chg. • •• 4
Meter No. Permit Fee 10o0J
Meter Reading Meter Dep.
3q '� � Meter Sealed: Yeas Add'I Chg.
I
Total Chg.
Inspected by ,ch
u
Dace - zq - (3
Building ie a:
Remarks;
"
Residence
Multiple No. Units
Commercial
Industrial_ •
other By.
Chief Inspector
In consideration of the issue a
herco agree to do the and delivery to me of the above
h a of T proposed work in accordance with the rules and I
Kagan ownship, Dakota County, Minnesota.
By; Cedar Grove Construction
Cow any
Please notify the above office when ready for inspection and connection.