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3840 Riverton Ave - Tie In Card r' x EACAN TOWNSHIP 3795 P ilot Knob Road St. Paul, Minnesota 55111 • Telephone 454 -5242 PERMIT FOR WATER SERVICE CONNECTION Date: 6126/73 (12/29/72) Number: 1238 $iliiag Name:' Cedar Grove Conatrnoticn CSite Address: 1 »1-A 384O Rivertcm Avenue Owner aanuf Billing Address Plumber: stir,," a • Location of Connection Meter Size Connection Chg.z■n no 4,a S/26/ Meter No. Permit Fee 10.00 Tad 19/;29/72 Me Reading__ Meter Dep. •50 yd 12/26/72 Meter Sealed: Yea_ Add'1 Chg. • y _ NO Total Chg. ✓� g`� J Inspected b Date T -/ Building 1s a: Remarks: Residence? Multiple No. Units • $25.00 RE-INSPECTION FEE FOR Co IMPROPERLY INSTALLED METERS. • Ir By: Other Ch ief Inspector • In Fonaideration of the issue and delivery tome of the above permit, I hereby agree' to do tie' proposed work in accordance with the rules and regulations of Eagan Town ship, :Dakota County, - Ninnesot BY: stain's Plea notify the 01) ove office when ready for inspect nspection and connection.