3938 Blackhawk Cir - Tie In Card /O - /6 '.
_ MEAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: "11I - I Number: ' 0
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Billing Name 1 � t � ; k4 Cr .' te Address• _. 3 o f' 1 ' ' 1 i {, { __
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Owner: -() (`' P "1� +_
� _ Billing Address - 1 . ',II -� t 1 N '` d ! , 1 1 4:3 ° .. c ,(,)
Plumber ` 1k (; F , � I 7l 7 I ;1
Location of Connection Meter Size Connection Chg. :-)J. Y 9/19/72
Meter No. Permit Pee 1,,CJ - L4 9/19/72
.; 1A1 9/
Meter Reading Meter Dep.
Meter Sealed: Yea Add'1 Chg.
l' NO Total Chg.
Inspected by
Date // -/9 - z-"'"
Building is a: Remarks:
Residence :a
Multiple No. unite $4,.:.. ,,�.:... Lt;( .ON FEE FOR
Commercial IMPROPERLY INSTALLED METERS.
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:'. t ,, "ti.',; i , , r.r�' . . , 0
\
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Please notify the above office when ready for inspection and connection.