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530 Chapel Lane - Tie In Card EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT POR WATER SERVICE CONNECTION Date: 5-f,-71 Number: 6n Billing Name: Larl J. t,oe Site Address: ° lug., ;,l -A21 Owner: ,same Billing Address Plumber: same Location of Connection Meter Size Connection Chg.: j i71 Meter No. 11 Jk 2 Permit Fee 10.G: ns /'/71 R. ~.0,sr= Meter Readi Ong nj;n Meter Dep. l5.oo r 5/F;/71 Meter Sealed: Ye d-1 Chg. NO Total Chg. 916' 9~ 6 Inspected by Date 7 Building is a: Remarks: Residence )cc Multiple No, units $25.00 RE-INSPECTION FEE FOR Commercial IMPROPERLY INSTALLED tv'.HERS; 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 accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Please notify the above office when ready for inspection and connection.