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4108 Skylark Lane - Tie In Card EAGAN Ta1NSHIP 3795 Pilot Knob Road St. PaulTelep hoaep454- 52425111 PERMIT FOR WATER SERVICE CONNECTION , may 1 2, 19 Number: 81.3 Date; 1GU G$- t {1_G, -txi ; 1 " -1L -tU -113 Billing Name:1 Hldp. 5 Site Address: a,y Owner: rr Billing Address Plumber: Veierke 7xenobing 4 1xouwating Meter Size,�,�„�.___r Connection Chg .____,.....i..-1/ Location of Connection _ , o .} 7 ' d �J$ Permit Fee 10 ;7 Meter No ._. r ._� -- , r ter Dep.' >' Meter Reading — Me I �, Meter Sealed: Yes_ Add' 1 Chg.,,,,,T_.—,- - , ANO_____, Total Chg.____- -- .. -- - - .�� tko 1 Inspected by Date Building 1.a a: Remarks: Residence $2,) U.; 1 „ a LP., IlUt1 [ EZ. I Oil Multiple � No. Dnits y °61111(3 `.1h1PROPLtL l ,IVJi \LLEO LILTEIiS. Commercial Industrial._ B y' Chief Inspector Other 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: tints kd b cuzghiu " vutlug Please notify the above office when ready for inspection and connection.