1721 Sartell Ave - Tie In Card ;7"?N —'
.,.,, EAGAN TOWNSh1IP
3795 Pilot Knob Road
St. Paul , Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Dote: g Number: 922 8 t�
Billing Name: v %!.� t P . ' ` ( a ite Address: /7r ?I \O. \ k-, I l?{,
Owner: () kJ) ,. r�u. ! L.l ' Billing Address `7,�// . , ( vi it f WC z1.1 C
Plumber: 1 A l i 1 c"L 1`11 n .
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Location of Coonection Meter Size Connection Chg.3OO.U pd 8/14/72
Meter No.' Permit Fee 10.00 pd S/!; /72
..E) 14 8 /1x/72 a/+
Meter Reading___ Meter Dep.
S /Q Meter Sealed: Yes Add'l Chg.
3 3 -- NO ^ Total Chg.
Inspected by
Date q/ ''20' l
Building is a: Remarks:
Residence roc
Multiple No. Unita
Commercial
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, Minneao a.
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Byc. r1)� ( - �
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(:.--1 -ee, r∎hCa ( '''(" I's t
Please notify the above office when ready for inspection' and connection.