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555 Chapel Lane - Tie In Card EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR WATER SERVICE CONNECTION Date: ,,.:,. G, 1 Number: �c7 Billing Name: til D na1d Tiet,ien Site Address: °S °iti CL . ., 1 r an ' 5121 Owner: same Billing Address r„ua. Plumber: 9,-r s et.ian Location of Connection Meter Sizer /: Connection Chg. 15/71 113 4548 ter Re; C : Pr No. n ; -' - Permit Fee t r,, ,n 1 /5/71 Meter Reading Meter Dep. 1 .ir1 d ':/5/71 r, 5/5/71 Meter Sealed: Yea_ Add'). Chg. 3y� 39 Total Chg. Inspected by 'C) Date s = f• 7/ Building is a: Remarks: Residence $25.00 RE- INSPECTION FEE FOR Multiple No. units IMPROPERLY INSTALLED METERS. Commercial Industrial B 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: Schaaf t: T1. -Yt jen Please notify the above office when ready for inspection and connection.