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1387 Cosmos Lane - Tie In Card EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR WATER SERVICE CONNECTION Date: a.r =u -`� 15 1972 Number: 941 Billing Name: Tillta C:vis truction Co. Site Address: Billing Address Owner: Plumber: Iu'ck i cdvmtint Meter Size Connection Chg. r, /15l72 Location of Connection - ---- -- Permit Fee lU,UO la 9/ Meter No. p;: x/12/72 sic Meter Reading Meter .1;i:,:;;;;;) Dep. Meter Sealed: Yee Add'l NO Total Chg. .3 HS - Chg. Inspected by p Date I3 7 Y Building is a: Remarks: Residence x u $25.00 RElNSPECTION FEE FOR Multiple No. Units IMPROPERLY INSTALLED METERS. Commercial Industrial Chief Inspector Other In consideration of the issue and delivery to me of the above permit, I hereby agree to do tin proposed work in accordance with the rules and regulations of Sagan Township, Dakota County, Minnesota. By: Please notify the above office when ready for inspection and connection.