3239 Random Rd - Tie In Card 7
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EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
*tort--
Date: I;, br:r l'',, It/l2 Number: jQ (�
Billing Name: 1 .,.:n_:cueLicu ' o. Site Address :5 n K !!!9 ardig' 2Oe
Owner: '"" Billing Address
Plumber: t. , _ c;, ..t1.w...' ∎70.
/ 4 !3 M f-1 / 1
Location of Connection Meter Size Connection Chg. , t 11/2_/7x
Meter No. Permit Fee I ti • `' . ' "' ` /;
:/1./_
Meter Reading Meter Dep.
Meter Sealed: Yes Add'l Chg. 1 << „-
NO Total Chg.
I
Jd i" Inspected by
t
r I Date /1 7,9
Building is a: Remarks:
Residence
$25.00 RE ;i ; ,rEC7iSi? FEE FOa
Co No. units ! JMPROPERLY INSTALLED METERS.
Comm
Multiple
Industrial By:
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.
i
By:
Please notify the above office when ready for inspection and connection.