4039 Limonite Lane - Tie In Card LAGAN TOWNSHIP
' 3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: `^i ! -/
Number: Ar`�
_
Billing Name:k . %� Y l L \
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fig, \ P 4 Address :, ' (l �( Y1
f �, , r: i y�,
Owner: . rs.� "l . l .Nt ( kl, f ,\.\ Billing Addreas '14 "i l t o ,. ,l i ( a ltra /
Plumber ' � } y 7 N 1 f Mk, E <' � - J , L
.-fie � i r.��l 6E1 73-
Location of Connection Meter Size
Connection Chg. , �116
Meter No. Permit Fee !o.((; *d 6/16/72
Meter Readin� Meter Dep. • j d '/16/72 a/c
/e Meter Sealed: Yes_ Add'1 Chg.
3r ,� �-" Total Ohg.
Iaspected by
Date s- lQ " 7 y
Building is a: Remarks:
Residencels
Multiple No. Units
Commercial
Industrial Bye
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, D}kota County, Minnesota.
, _, (j t
Please notify the above office when ready for inspection and connection.