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4074 Limonite Lane - Tie In Card EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR WATER SERVICE CONNECTION Number: Date: , Billing Name• n Site Address• Billing Addreea i ` r Owner: Plumber: Location of Connection Meter Size Connection Chg. Meter No. Permit Meter Reading Meter Dep. Meter Sealed: Ye Add'l Chg• Total Chg. it �0 � ." Inspected by Date ld — 7 •�__/ Building is a: Remarks: Residence Multiple No. Units Commercial Industrial Hy' Chief Inspector Other In consideration of the issue and delivery to me of the above permit, I hereby agree to do de proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: s. Please notify the above office when ready for inspection and connection.