1850 Jade Lane - Tie In Card �. _7—s _�
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: , J \!l` -I 197.3. Number: 899 �*
Billing Name: Cle (�, “") 0 e O (r jj bgite Address: / m , , / .) (A
Owner: A PAn i Q., r(l l)�' CC '. 115 Billing Addreas7. ( ' 1 hf fry) 61Lej ,-.
Plumber: A (-' 1 }-., . la h 11)1 t! g �'+C7. c;i i - 1 t i t 1 1111. t
5507,S'
Location of Connection Meter Size Connection Chg.-'""' ?u (/26/72
j.
} Meter No. Pgrmit Fee 10.0,) p1 7/26/72 ' ,
.- to ii, a/c
Meter Reading Mater Dep.
Meter Sealed: Yea Add'l Chg.
At NO � 3..' Total Chg.
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L......te
Inspected by
Date 7 - 2.5 7 2
Building is a: Remarks:
Residence'
Multiple No. Unite
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 Eagan Township, Dakota County, Minnesota.
By: Ci t 4 's2 1 M (. C.ti)D O N j 1"
Please notify the above office when ready for inspection and connection.
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