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1835 Jade Lane - Tie In Card EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242. PERMIT FOR WATER SERVICE CONNECTION 9-5-1 Dater Number: d62 Billing Name. ~CCl XLt ~ -~I Site Address: Owner: BillingAddresaf Plumber f i l~a.~~.l~V\ i~ •~~~'~7,1 Location of Connect on Meter Size Connection Chg. 7/3/72 Meter No. Permit Fee 1G.(ri u3 7/x/72 Meter Reading Meter Dep. 12 Meter Sealed: Yes_ Add'1 Chg. jo ND Total Chg. Inspected by Date Building is a: Remarks: Residence xx Multiple No, units Commercial 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. t By:_ Please notify the above office when ready for inspection and connection.