2835 Vilas Lane - Tie In Card EA TOWNSHIP
*� ze,' 3795 Pilot Knob Road
,, St. P a eph o oe aaeeota 55111. _
a �r „ Y Telephone 4 54.5242
r P $RM1 T FO WATER SERVICE CONNECTION
pay. June 3O 1971 Numbe;: 662
Ei }ling Naze; C rro1 Anderaon Si te Address 2895 Vilna Line. Taaan X3121
t` 6haper' name Bi llin g Address wn
Pl ugo ber Sou Plumbing Ce.
o tion o fCg c�tiop Metes Size 5/8 Coanectioa Chg. 26Ci.00 pd 6/3Of71
RONo.s 5237645
Metes No.ding °n()() 1? Permit Fee 1,A),();) e,c{ a 9 / /
:r M Readin Meter Dep. 1!.9 .11 spwN?
x � 7 Meter S ealed; Yea Add a l Chg. F �n =\a 9/11/71
" � , k10 Total Chg.
;s ', ' IAS pe cted by
< Data • •• • /0 .. ?�
Building Lies' a; Rema rks: '
Ree4dence_.._ + ,
fi Mi}t No. units
Commeroia1
$ 25.00 RE- INSPECTIQN FEE FOR " " '
;*1;*''. nctuatriai By; IMP ROPERLY: I NSTALLED METERS.
" Tod Chief Inspe
r
in conaideratloa of the issue sad delivery to me of the above permit, I
hereby agree' 10 do the proposed work 'in acco rdance with the above and
;regu lations of liege Towuahip, Dako • County, Minnesota.
AE t BY'
Southtown P lumbing Co
'. Plaaae notif the above of #ica when ready
,r, for inspec and connec tion.
3 ,
Ce
£
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