2841 Vilas Lane - Tie In Card 3
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i t':14:;';:71'.:1-';'4"7'''''.', � EAGAN TOWNSHI 3795 Rnoad
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i ,* St. Paul, Minnesota ob R 55111
�x � ,. Telephone Pilot 454.5242
j.F P FOR WATER SERVICE CONNECTION
::::L Na 1Gty^ 16, Site Address: ` 1972 Number: c : Join Brennrsn 28 Vi1 ,
ea Lone Eagan 5512)
Owae {, ' ' & Billing Address
Piumber•W/iorke Trenching
Location of Connectioa Meter Size hi Connection Chg. 3w.w pQ 5/16/7
8 311233 2 1970204 10.00 1
Meter No. Permit Fee Pd S/14/72
� •7� 1"i 7f1vf72 a.c
Meter Reading:. =. r c € llep�
o iep ,7.uu Eu 7/1$/72
Meter Sealed: Yes Add '1 Chg.
NO Total Chg.
1 eta' ,
Inspected by
b
Date , ���
Budding 19 e : Remarks:
Residence_,, ± + � $25.09 f 1„ ?EC'flON FEE F02
IMPROPERLY IUST�LLEO METERS.'
Mu?.tiple ___ „No. musts....
Commercial
IMustrial Sy:
' Chief Inspector
, Other
In consideration of the sue delivery tor me I
hereby agree t ` C le proposed and work in accordance oE ritb ' the above rules permi and
regulationao $ag To Dakota Coun ty, Minnesota.
By:
e Weierke T & Eroavuting
Please notify the above office When ready for, inepection and connection.