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4100 Skylark Lane - Tie In Card .,.„ EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR WATER SERVICE CONNECTION Date: h 441 7 12, 1972 Number: 693 Billing Name: oe- f1'7'recuiala aii S Site Addrese:li100 -Or -t. , 14 -o6 ri -i1 7: - 71, -tr; -id :ityl.ark I,..;,,,4 Owner: '' 640 Billing Address Plumber' Welarke Tr+&nohing & Exorvating Location of Connection Meter Size Connection Chg. 1 Y r. Meter No. r " i - i 9 i 0 , Permit Fee ),, Meter Reading Meter Dep.2 p r 9 './ Meter Sealed: Yes Add'l Chg. • 4 A NO Total Chg. i to r, r ‘1,111 40 �0 1 Inspected by Date Building is a: Remarks: Residence , I,� 14') [E 10'1 Multiple x No. Unitml° ' ° ` ri ' 14° ' `'Jh1P;OPEEI11 dliIALLEO (,1ETERS. Commercial Industrial By: Other Chief Inspector In consideration of the issue And delivery tome of the above permit, I hereby agree to do the proposed work in accordance with, the rules and regulations of Hagan Township. Dakota County, Minnesota: By: ∎arterice.,Treaahir & L:s:aavatiug Please notify the above office when ready for inspection and connection. 4(