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3255 Hwy 55 - Tie In Card MAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION October 11, 1972 Number: 1011 Date. Ex.rin H. HeLuken Site Address: 3255 t~'.b~ Y r~5+ L`"n 55121 Billing Naa~e• Owner: swno Billing Address Plumber: Avoulea Pluwbiuz Co. Connection Chg. 10/11/72 Meter Size Location of Connection Acct. lieposit 10/11/72 3;G69 'J 9 -0 / Meter No.22272493 Permit Fee /4' f~ f ~3 Meter Readings„ Meter Dep. Meter Sealed: Yes_ Add'1 Chg.--- w Total Chg. y Inspected by Date Building is a: Remarks: Residences $25.00 RUNSPECTION FEE FOR Multiple No. Units 1h1PROPERLY INSTALLED METERS. Commercial Industrial BY: Chief Inspector Other In consideration of the issue and delivery to 1118 of the above permit, I hereby agree to do tie proposed work in accordance with the rules and regulations of Began Township, Dakota County, Hinneaota./ By: Please notify the above office when ready for inspection and connection.