4504 Oak Chase Rd - Tie In Card EAGAN' TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
' PERMIT FOR WATER SERVICE CONNECTION
Dater November 13, 1972 Number: 1038
Billing Name; Ja:aea Marosa Site Address: 1404 OMMc Chase
Owner: same Billing Address
Plumber: name
Location of Come tion Mater Size Connection Chg.300.00 Pa 11/1
Meter No. Permit Fee 10 .0 0 pd 11/13(12
70 14 11/
Neter Reading____ Meter Dep.
Meter Sealed: • Yee Add'l Chg.
r� Q 47 N Total Chg.
Inspected by
Date 11. 70L 7?'
Building is a: Remarks:
Residence xx
V5.00 RE- INSPECTION FEE FOR
Multiple No. unite Ii.,PROPERLY INSTALLED METERS.
Comme
Industrial By:
Other Chief Inspector
In consideration of the iaaue and delivery to me of the above permit, I
hereby agree to do tie proposed work in accordance with the rules and
regulati of Eagan C ounty , Mi
By:
Please notify the above office when ready for 'inspection and connection.