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1500 Lone Oak Rd - Tie In Card EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR WATER SERVICE CONNECTION Date: er.t :bcr 1G, 157U Number: Billing Name: !Lrit.t sw n Site Address: P. ! 1 r , i r;9i 11 Owner: ra Ss.,a., Billing Address Plumber: h:.,>,, C ;a Treueili , Location of Connection Meter Size Chg. Meter No. Permit Fee . Meter Reading Meter Dep. /- S 8 6 Meter Sealed: Yes Add'l Chg. NO Total Chg. Inspected by /C es* n•k Date g - 3 0 - 7(1 Building is a: Remarks: Residence cc . Multiple No. Units Commercial Industrial By' 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 with the rules and regulations of Eagan Township, Dakota County, Minnesota. By Please notify the above office when ready for inspection and connection. 7