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2875 Fairlawn Pl - Tie In Card `'' EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR WATER SERVICE CONNECTION Date: June 23, 1971 Number: 648 Billing Name: Jerry .1etaon Site Address: ?17S r,ir1: ;n, 11 : an Ha 5 Owner: same Billing Address Plumber: All - State Plumbin, Location of Connection Meter Size 5/ Connection Chg. 2r; o.cx; r.d u/23/7 u(..., i Out No. 0 212177 HAVING GATrN SHUT OFF AT CURB. Meter No. 7141504 Permit Fee 10 (ir) nd 6/28/ ONLY GOING TO USE SIW'R AT Meter Reading__ Meter Dep. 15.uo pd 6/23/7 PRESENT. / Meter Sealed: Yea L"Add'1 Chg. S,GU nd 6/28% 3' 6 3 lb NO Total Chg. Inspected by / ----) Date G— r 7 l Building is a: Remarks: Residence xx $25.00 rcr- rd. FOR Multiple No. Unite _ IMPROPERLY INSTALLED ME Commercial Industrial E 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: A11 :its%.. P1u bin' Co. Please notify the above office when ready for inspection and connection.