3082 Sibley Memorial Hwy - Tie In Card . - EACAI TOWNSHIP
7795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
. PERMIT POI WATER SERVICE CONNECTION
Date :_AUCwt 19, 1971
i moaner, 6U9
811110{ Name: Auauetn. Cehrka sit. eddrau; 1062 stele, flatlet , riet I tsgee
Ouwri suw 55121
billing eddna•
Plumber Ceae -kan n, bi A u Co.
'cation of CoaO.edoa Meter Rise 5 6
1 l� keeo Guc COOO�cioO ChR. -• , �r u o /19/71
L.��d
. Megr Ho, 11= 0tl1,d1y Permit Poe 10.00 pJ 6/19/71
deter Read! 0000 p 6/19/71 ./c
M eter Dep. 15,00 ,J 019/71
J• 3 Neter Reeled: Tae_ Add Chg.
tp _ Tee•1 cng.
Pp / 1n.plcced by
Da. GC 1f . 7L I
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: Ru11d1ag le a:
Rrasrk.t I
Waldeoce ot .
Multiple yo. Unite S25.CD ftr.I ECTION FEE FOR
Corerclet
IIdPROPEHLY INSTALLED METERS
Iodeatriai e j
y I Other C hief Ieapector
her In eoeatderattoa of the /as. sod delivery to no of the above permit, I
e
hby ge of On proposed work la accordance with the rules and
i.., ere Bova Township. Dakota County, Mimaeuta.
Iyi
Oeos -kyen Plwsblag A 04tting Co. I
6useewuut, N1twe,or, 55066 I
1 Plea., outify the above office eh. ready for inspection and connection.
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