3857 Palisade Pt - Tie In Card EACPN' TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PEB U T FOR WATER SERVICE CONNECTION
Da /2$/73 (12/29/72) Number: 1145
Billing Name:Ceder °rove Conatryotion OsSite Address; -R-40 3857 Palisade Paint
Owner: name Billing Address
Plumber: Stain's
'cation of Connection Meter Size Connection Chg. 300.00 r4 3/2$/73
Meter No. Permit Fee 10.00 pd 12/29/'72
'54 pd 12/29/72
Meter Readin Meter Dep.
Reading."____
Meter Sealed: Yea_ Add '1 Chg. •
/..,,,,D NO Total Ch g .
/
InsPected by
Date y -)" -7f
Building is a; Remarks;
$e x% f.'1; t ;.)Sl'l f`fIQ�S I'f " 3'0
Mult iple No Units
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Commercial
Industrial By:
'Other Chief Inspector •
In consideration of the iaeue 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:,
Std A's
• Please notify the above office when ready for inspection and connection. •