2969 Burnside Ave - Tie In Card
RAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERaT FOR WATER SERVICE CONNECTION
Date: 5/6(71 Number: r99
Billing Name: Frank burns Site Address: 2969 Aurns:rle Ayn.. "mr - 55121
Owner: Billing Address
Plumber: same
Location of Connectio Meter Size~z,/R Connection Chg.-~rn_nn 5/6/71
Meter No. 11x~trF Permit Fee r, On 5/6/71
"31
Me'iiir1* t ' k 'Z' Meter Dep. i on n/71
7 Meter Sealed: Yes Add'1 Chg. 7 ,cn -4 5/6/71
3 S 3 L NO Total Chg. 292.50
Inspected by
Date a-lb
Building is a: Remarks:
Residence xxx
FOR
FOR
Multiple No. Units_ IMPROPERLY INSTALLED METERS.
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 accordangs-with the rules and
regulations of Began Township, Dakota Countyy Minnesota.
By;/Li/vZ~/
Frank borne
Please notify the above office when ready for inspection and connection.