4421 Wilderness Run Ct - Tie In Card »ak
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EACAN 2 WNSHIP
.MA
3795 Pilot Knob Road
St, Paul, Minnesota 55111
Telephone 454 -5242
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RMI
PET FOR WATER SERVICE CONNECTION
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D e •April, 23, 1 Number: 1 162
BLI11ng Na; me n.r,. , nrnntnvttiex,' Site Address: 14421 Wilderness tun Collrt
Owner. ` ' Billing Address
"' a , er: Werszel Plumbirsg &Beating
:, Y F fl
3 Lgoatioa of Connection Meter Size Connection Chg. 320,00 pd 3/14/73
F Y
L Meter No. Permit Fee 10.00 pd
Y 4 Meter Reeding Meter Dep.,
d+ / � Meter Sealed: Yea Add'I Chg.
x ' '� NO Total Chg.
\/
inspected by
3 - " ,;' Date Lr (^ 73
B ui l di n g is f Remarks:
i ,`,Residence 7n[ k FO4
Multiply No. unite $25.00 R'EIstllSPtij O , E
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n
CommercialT,, ,/,,,p,",--„:
Induetrial B y :
Other_„�- Chief Inspector
‘-';'
In c onsideration 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
.`regulationa,of $agars Township, Dakota County, N ` nnPsota.
By:
Wenzel "Flwtbing & Heating Cno•
is
Please notify the 8 bove office when ready for inspection and connection.-