1309 Wilderness Run Dr - Tie In Card E
' 3795 Pilot Knob Ro
' St. Paul, Minnesota 42 55111
Telephone 454 -52
p FOE WATER SERVICE CONNECTION
Maroh 27, 1 7 2 N ero 79K
Date - -. .
Billing Name: W ei Co nat3uo#dan po. Site Andreae: 1309 Wi]siarnesa R Drive
Owner "sane Billing Addieea
plumber: W plumb &Heating Ino.
f 3/T
Meter Size �,�.�_ Conne ction Ch • •�` 3/72
L of Connection 10 0 pd " " '' 2 ".
deter No. Permit Fee '" r a/o
Me ter Reading _ Meter Dep•
Mete Seale Yea__ Add Chg. ■
b I To tal Chg.
- inspected by
Date 7 :2 �' ��
Buildiag a: Remarks:
$ P,E Iil� ,,E.,-1101'' D E
Rgeidc�gFe� 25 4
M uttiple_:�_,- 'No. //Rita 1iv1PR� ch ief Iee
< ComoerC is 1
x,;odu , � ° Chief Inspe
Others.
3n consideration of the `ieeue a delivery to me o£ the above p ermit, 1
N a gr e e to do th3 p roposed work in accordance with o• the rules and
regulatioaa , Beg TownshiP, Dakota County, M1nne
By;
Wenz® lYlumbinK ti
& Fieatir Inc. T `
y P l ea i e notify t!,11: a of €ice when ready, for inspection a nd co
r'
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