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4279 Lodgepole Dr - Tie In Card EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR WATER SERVICE CONNECTION " Date: Flay 13. 1971. Number: alp Billing Name: ' ='i13en Ct,it4t= 'action Cu Site Address: - ' F 7 7 ? �, s l r 't -rtv i'ver;.lrr:a:.: . Owner: :Su1'.e Billing Address Plumber: Lai ck 1's cavat 4/2/71 Meter Size_________ Connection Chg. �± Location of Connection ply IA 5/13/7 1 Meter No. Permit Pee 10 ? Meter Reading`___ Meter Dep. " 1 7 1 ) ( Meter Sealed: Yea__ Adel 7 Np Total Chg. Inspected by Date 5 _ 11.1/ Building is a: Remarks: Residence xxx Multiple No. Units $25,00 RE INSPECTION FEE FOR Commercial IMPROPERLY INSTALLED METERS. Industrial_____ B y' Chief Inspector Other In consideration of the issue and delivery to me of the above permit, I hereby agree to do tie proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: ivac�.en wccavutin�; Please notify the above office when ready for inspection and connection.