3217 Random Rd - Tie In Card !" "t EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minneaota:55111
Telephone 454 -5242 ,
PRRNIT FOR WATER SERVICE CONNECTION
Dote: Aori1 19 1971
Number: 578
B1111n8 Name• L owell Dixo
Site Address: 3317 Ran 49ova Road p 5121
Owner: aamm' Bil
ng Address camp
Plumber: John Micquillan:- D Schaaf
Location of Connection
Meter Size _________3 8 Connection Chg.260 00 s.d 4/16/
Met NN� Account Dep. .00 p 4/16/
R.Oe 21 94 456 Permit Fee 10.00 pd_.4/19/
Meter Readin ri00b Meter Dep.
L// Met Sealed: Yea
7` ° ` S Add 1 Chg,
, ` Total Ch
Inspected by
J ' Ilrirrli F i. " Date y% / 9►� 7 M
Building is a: . Rema rka;
Residence *oat
Multiple _ No. Units
Commercial X25.00 RE -INSPECTION FEE FOR
Industrial_ IMPROPERLY INSTALLED METERS.
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree o to do the proposed_ work. in accordance with the, rules and
f E a g a n T owpshiP. Dakota County, Ninneaota.
By:
John McQuillan
Please notify the above office when ready for
Y inspection and connection.
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