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1589 McCarthy Rd - Tie In Card EAGAN 10WNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR WATER SERVICE CONNECTION Date : -4. 'ii_ Number: Billing Name: • ' " I -• Site Address: Ind !'fn��MjL y . Owner: • Billing Address Plumber: Locatio - C.., ctioa Meter Size Connection Chg Meter No. Permit Fee Meter Reading_ Meter Dep. Meter Sealed: Yea Add'l Chg. NO Total Chg. Inspected by 1 / Building is a: Remarks: Residence Multiple No. Units $25.00 RE-INSFECI1UN IL: FOR Commercial OAPROPERLY INSTALLED METERS. Industrial By: Other Chief inspector 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.