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1412 Balsam St - Tie In Card G~ EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: i c:Herctr 21, 1970 Number: 523 Billing Name: 'Pilsen BoiuQs Site Address: 1412 t3als.~ut Owner: same Billing Address aaiv-- Plumber: Ceora,e J, LuQCken Location of Connection Meter Size Connection Chg. Meter No. Permit Fee 1C.UU gd 12/21/70 Meter Readinpr„-_ Meter Dep. Meter Sealed: Yea Add'1 Chg. 3 ~L sz ' NO Total Chg Inspected by Date 1`70,7 Building is a: Remarks: Residence Multiple No. unite $25.00 RE-!T:"?ECTIOCI FE FOR IMPROPERLY 'iSTALLED METERS. 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. By: Goorgu J. Luocktn No. St. Paul Plesue notify the above office when ready for inspection and connection.