3470 Greenwood Ct S - Tie In Card
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MAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: July 6, 1IR, Number: s o,.
Billing Name: SuiVQ' Il htz Uu_,,. Site Address. r + -y a i Cotu:t
Owner: t`u i .14 ~c i'i eeau Billing Address
Plumber:
Location of Connection Meter Size Connection Chg.
Meter No. Permit Fee 1 u-CQ1_
T++70 f p7 Meter Reading Meter Dep.
9H71 ~N 7` Meter Sealed: Yes 'Add'1 Chg.
a NO Total Chg.
d
Ck ~oPf Inspected by
Date
Building is a: Remarks:
Residence
Multiple '~r: No. Unite 1.
Commercial =25.00 RE-INSPECTION FEE FOR
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:
Please notify the above office when ready for inspection and connection.