1073 Beatrice St - Tie In Card
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EAGAN 7OWIISHIP
3795 Pilot Pyob Road ~n *0_V
St. Paul, Minnesota 55111 r
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Oct. 249 1967 Number:
Billing Name: Ray Bustler Site Address: io7j jan+,j"0, '41-
Owner: above Billing Address aboy
Plumber: %,•nnelninki PLba.
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Location of Connection meter size Connection Chg: Pd. 10/24
Meter No.& 7 3 P(104 Permit Fee~~
I Meter Readingfll Meter Dap. 10/24
MEf~
~3Gy 3~ = Meter Sealed: Yea_ Add'1 Chg. TAI
~ r,D { r Cow - jl,
NO Total Chg. Inspected by
Date 1D 044i
Building is a: Remarks: K,
Residonce_.A_
Multiple No. Units
Commercial
Industrial By:
Chief Inspector
Other
in consideration of the issue and delivery to me of the above pe=it, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota. /
- ~Tlease notify the above office when ready for inspection and connection.
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