1709 Deerwood Dr - Tie In Card
RAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: h Number: 960
-7(:;Cl ! ? -tV ~yl
Billing Name <ti 1.1 _ r* Site Address:
Owner:( ~~'A%') I-'1 Billing Address 174
T
Plumber: f f ; ll 7 i
Location of Connection Meter Size Connection Chg. 30U.M 73 9/13/12
Meter No. Permit Fee 10.00 Ti 91131'12
"
Meter Reading— Meter Dep. Zu pd 9/13/72
Meter Sealed: Yea Add'1 Chg.
y 3 9 ND Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence roc
Multiple No, units $25-UU U-iNSPE00N FEE FOR
Commercial IMPROPERLY INSTALLED METERS.
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 Ragan Township, Dakota County, Minnesota.
By:fl
Please notify the above office when ready for inspection and connection.