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2984 Burnside Ave - Tie In Card EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR WATER SERVICE CONNECTION Date: N.,,,, qc inn Number: 511 Billing Name : Eu'ene Sell Site Address: 298 hur,asida Owner: sar::e Billing Address surer: Plumber: Wlierke Trending and Gretsfeld Plumbing Location of Connection Meter Size Connection Chg. _ --�- -- NOT CONVICTING NOW Meter No. __,_ Permit Fee 10.1)0 pd 12/9/70 SIGi 10 tTTILITY AGKEENENT Meter Reading Meter Dep. ,„c Meter Sealed: Yea Add'l Chg. 9 7' if ND Total Cbg. 1 7".."\ 1 Inspected by Date /v/9 /Z O Building is a: Remarks: Residence xoc Multiple No. Units Commercial Industrial By: Chief Inspector Other In consideration of the issue and delivery to of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota Coupty, Minnesota. By: a ., " 't! ` �c!r -! Welerke Trenching & Gretsfeld Plumbing Please notify the above office when ready for inspection and connection.