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1775 Bluestone Dr E - Tie In Card EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: Number: J6 d 7 Billing Name: Site Address: Owner.' Billing Address Plumber: Location of Connection Meter Size Connection Chg. /7'?/(iJ Mater No. Permit Fee /1'I/7 Meter Readin&_ Meter Dep. Meter Sealed: Yes_ Add'1 Chg. NO Total Chg. M 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 the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. B f Please notify the above office when ready for inspection and connection.