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3635 Blackhawk Rd - Tie In Card EACAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR WATER SERVICE CONNECTION Date: t: 23. 100 Number: -�� Billing Name: u...--d Cr.16. Site Address: s Owner: Billing Address Plumber: ... _ i ..:i,i . -= Location of Connection Meter Size Connection Chg. ' ) yd 11/20/70 hi ....ii Gip, lS,vJ e 4 11/20/70 Meter No. , ol<s Permit Fee lt.t r _ 1 11/,..1/70 uvJ Meter Reading Meter Dep. Meter Sealed: Yea Add'L Chg. 3f� NO Total Chg. y9� Inspected by 13LRc- Heiutik Date /1/ i 3/7 21 Building is a: Remarks: Residence-" $25 C Multiple No. Units RE 11S :LT : Iprt )3 •E7LY INS' ALLLD 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: `v.'t;ra3:i1 elwwblu;; S i a: itit ; teiC. 1955 Shuwr:�a oaJ, a't. Pa:cl 59111 Please notify the above office when ready for inspection and connection.