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1865 Jade Lane - Tie In Card . • '" ----........ ... ,.. EAGAN TOWNSHIP / 7 _ 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Dote: /----- i - 7 ,.. Number: 1087 Billing Name. 1, \'''-f\(11' 67,Y00(1)1A Address: llo Owner: .:7•Yls 1)\( Billing Addrestr734 -S ( - l'ilr(srel thild J:Z. Plumber: C,--- "ttEk -- 1 - 1 • Location of Connection Meter Size Connection Chg. 100.00 nd 12/18/72 ze Meter No. 4 Meter Reading ::::: Dep. . Meter Sealed: Yes Add'l Chg. NO Total Chg. Inspected by 10.00 nd 12/18/72 .50 pd s/c Date Building is a: Remarks: Residence x x \ $25.00 PErPECT;01 r - .F. ii.,", , Multiple No. Units IMPROPElf .....1:11.-.1J -tIERS. f Commercial Industrial B Other Chief Inspector In conaideration 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: • 1, -. ‘ ( )( )-C s ! ' I I Please notify the above office when ready for inspection and connection.