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3940 Blackhawk Cir - Tie In Card s. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR WATER SERVICE CONNECTION Date: 741 I / Number: 914 Billing Name:- 0.. (^i•1 .( C.�; ( ' i4 . Site Addresstom(/i /(' r t,. �. k''l1 5-1.;?. l„rs Owner. t < "•�X. t � �-� �.(' �a A � Billing Address ...7 > =� ) , CA Plumber: a., - 1 ;1 1 ( i, � rC) .., Location of Connection Meter Size Connection Chgan ct' - s/16 /72 Meter Ho. Permit Pee 2ci,r irl nft.i,1J2 B /lb /72 Meter Readit Meter Dep. ,q Meter Sealed: Yes_ Add'l Chg. 3 NO Total Chg. Inspected by Date Building is a: Remarks: Residence Multiple No. Units Commercial Industrial By: Chief Inspector Other In consideration of the issue and delivery to me of the above permit, I hereby agree to do tte proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By. t .)r , `, II r Please notify the above office when ready for inspection and connection.