1854 Carnelian Lane - Tie In Card a }r- •1
EACAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT POR WATER SERVICE CONNECTION
Date: C. Number: 986
Billing Name: h k r't, f- CC \Site Address: 1 " 7 (1I ‘ 1 u�( t lt `•-�' I
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Owner: +!� 11 SS i • ( Billing Address - 1 - 4 � \ �� t' � ,i � 1. � .
Plumber: L � 5 . c t1, N l l t 1 \.k"t 0 n
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Location of Connection Meter Size Connection Chg.-.W pa 9/19/72
Meter No. Permit Fee 10.00 pd 9/19/72
..0 pa 9/ 19/72 a/c
b Meter Reading Meter Dep.
i
11./ /16"" Meter Sealed: Yea_ Add' l Chg.
NO Total Chg.
Inspected by
Date /b 0.4Q 7.
Building is a: Remarks:
Residence ss $25.00 RE- INSPECTION FEE FOR
Multiple No. units_ IMPROPERLY INSTALLED METERS.
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 � Minneso '
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By: \ Cl ts(_�t" t (\S- \ I\
Please notify the above office when ready for inspection and connection.