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3665 Blackhawk Rd - Tie In Card EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: 1 n 14,7n Number: ,;1 2, Billing Name: i~ ,,I Site Address Owner: Billing Address w6' c1, cd:hw 1 ?so< i Plumber: doily Uwa W. rk Location of Co ction meter Size 'j' Connection Chg. '(.'1.03 i 6/10/70 ect. V,. GO i i 6/1(/7U Meter No. ~;~'~3 Permit Fee 'ii). 1)d 6/10/70 t`f r:. W }'d 6/10/'; 0 Meter Reading 1 l1_0'0 Meter Dep. 1 y o Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected b Date Building is a: Remarks: Residence a.x 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 rues and regulations of Eagan Township, Dakota County, Minnesota.`., By L. Pond Please notify the above office when ready for inspection and connection.