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4265 Lodgepole Dr - Tie In Card EAGAN TOWNSHIP 3795 Pilot Knob Road •�,� St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR WATER SERVICE CONNECTION Date: April 12, 1972 Number: 61 3 Billing Name: Tllsen Ccalstruetion Co. Site Address: 4 Lod vpoLc _)•ivo Owner: Billing Address Plumber: Lueck n Excavating JLe."1.1 Location of Connection Meter Size Connection Cbg.iUU.UW 1'd 4/ Meter No. Permit Fee 10.00 pd 5/30/72 .5U pa 5f u /?2 Meter Reading Meter Dep. Meter Sealed: Yes_ Add'l Chg. 2- NO Total Chg. 4 I 7 Inspected by �� � 3/ �� Date Building is a: a Remarks: Residence sac Multiple No. Units Commercial lMPi.QPErtLY hi,S,ALLLI iiiu fzj. Industrial By: Other Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do tlw proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Luecken 1xc 8vet3IIg Please notify the above office when ready for inspection and connection.