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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.