1852 Pumice Pt - Tie In Card v1 f
EAGAN'TOWNSHIP
3795 Pilot, Knob Road
St. Pau1, Minnesota 55111
Telephone 454 -5242
PERMLT;FOR WATER SERVICE CONNECTION
Date: , f2 , ./7� Number: ` 419
Silliag Name. ' 1, 4' 1., , + /"'),/ e) l!, ) . - ' Site ,Address: /ti , •a ! ' . /
Owper: .X1n,,,.`., Silting Addreeai4 / 3 ' e_.;
Plumbers 7 ..1.),at„e' s! a: u
' Location of Connection Meter Size • Connection Chg. 130.00 pa 4/6/70
Meter No, Permit Pee 10.00 pd 4/6/70
Meter Reading Meter Dep.
, - y i 6 Meter Sealed: Yea_ Add'/. Chg.
. NO Total Chg.
Inspected by `4
L Date if�"I'7
Building ie a: Remarks:
Residence
xx ,1-
-Multiple No. Unite
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.
,r
Please notify the above office when ready for inspection and connection.