Loading...
1871 Carnelian Lane - Tie In Card ULAN TOWNSHIP t-1~1 3795 pilot Knob Road St. Paul. Minnesota 55111 Telephone 454-5242 pgEKIT FOR WATER SERVICE COMECTIOti Number: 3,16 Date. (G'' r~ r,'/ dress: ~ ~ ite Ad Y\ S M!~ Billing Name Billing Address ' owner: 4 `~•j i.v , r' Plumber: ` ; Meter , i~ ~a 7/3/7 Size-,- Connection Cbg.---~ Location of Connection Permit Fee 1U U3 +/~/(2 Mater Meter Reading,~ Meter Dep. ~a Add ' Meter Sealed: Yeas 1 Chg•-,.~...-----"~ Total Cbg•! N0 i 3s Inspected by q Date ~•~ff Remarks: Building is a: xi: Residence Multiple _ No. Units Cosmercial By: Chief Inspector Industrial- Other of the above permit, I In consideration of the issue and delivery or me agree to do tte proposed work in accordance with the rules and + hereby Rage Township, Dakota County. Mine regulations of Rags t , + "k BY: Please notify the above office when ready for inspection and connection.