1077 Beatrice St - Tie In Card
RAGAN TOWi1SNIP ~7
3795 Pilot Knob Road `h Lct.! lrav'/C v
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: October 19.1967 Number: J
Billing Name: pawl R_ Onradn;k Site Address: 077 Ra t.rine Rt.raat.
Owner: Same Billing Address Same
Plumber:
Location of Connection Meter Size Connection Chg. pd-je w.67
Meter No.673"6 4 Permit Fee 7.pa -/e f
Meter Readin /g Lr Meter Dep.11K_00 /9" '01i9
Meter Sealed: Yes Add'1 Chg.
333 S-O "Y Mv7 D
\ 3/ 14-, NO Total Chg.
o Inspected by
Date y3 `2
Building is a: Remarks: on%
Residence
Multiple No, units
Commercial
Industrial By:
Other Chief Inspector
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 Ragan Township, Dakota Count Mi esota.
By:
Plaase notify the above office when ready for inspection and connection.