1855 Taconite Tr - Tie In Card f "x wrt /IY! ?
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. EAC TOWN
3 795 Pilot Knob Road
�. St. Paul, Minneso 5 5111
,' Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Pat'
ate: (�1 Numb 934 -{ ��
Billing c )f � 0( \ h bite Address: L = 4 -i la('' lFt 1 � `l •
Ow \ K'S „ o , (r\ Billing Addreea� 1 � #v" .4t i l : { �G
P - l) e . t -�SG�t.i." Ll i'�C� f f,.R �' .. !�. /
• location of Gonaection , Meter Size Connection CDs. 4( o d 8
Meter No. Permit Fee iO,rr:! ra R /16!72
Meter Readia�_ Meter Dep. i.! a S /lbl72 e/e
Meter Sealed: Yea_ Add'l Chg.
/ °— 3� NO Total Cbg•
Inspected by
DateI /��7/
Building is a: Remarks
Residence roc
Multiple No, Unite
Commercial
Industrial ay:
Other Chief Inspector
In consideration of the issue and delivery tor me the above permit, I
hereby agree'to do the
proposed work " in accordance vith - the ru les and
regulations of B4gan Township, Dakota County, Minnesota.
By :+ 1"4 ,'� .{`11G ?,_ I� ' \( t ^1 t.Zt�
- Plpa;e no tify the above office when read for inspection end conne cCion.
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