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1396 Lone Oak Rd - Tie In Card 0 O ----... EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR WATER SERVICE CONNECTION Date: �1:.c,la4 9/30/71 Number: 72 Billing Name• Martln Shields Site Address: 13 1tnn . Li, PyLcl 55121 Owner: Kama Billing Address Plumber Ro Koehnen Size Meter — Connection Chg.'_ UA Location of Connection �0�U0 Pa 930/71 Meter No. Permit Pee 1 Meter Reading______ Meter Dep. 0 / t / 7 1 71 Q Meter Sealed: Yee__ Add'l Chg.,� --- / Total Chg. 1 a �` Inspected by tea. Date 1 .. • Building is a: , Remarks: Residence x Multiple _ No. Units $25.00 RE INSPECT.O;! FE FOR IMPROPERLY INSTALLED , E Ei.S. Commercial Industrial By:_______-------------_ y Chief Inspector Other In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance e i the rules and regulations of Eagan Township, Dakota County, ltoy KoeLnen Please notify the above office when ready for inspection and connection.