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3871 Palisade Way - Tie In Card EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PEIUaT FOR WATER SERVICE CONNECTION Date: 3/28/73_(12/29P Number: - 111,6, Billing Name:owjnr Orove Qm3trvotion Co$ite Address: ;821 r.j&4j4A V4q Owner . 9 Billing Address- Plumber:- Stein I e Location of Connect on Meter Size Connection chg 3/26/73 Meter No. Permit Fee 10.00 Pd 12/29/72 q Meter Reading Meter Dep. 12/29/72 Meter Sealed: Yea_ Add'1 Chg. ND Total Chg. , Inspected by Date Building is a: Remarks: xx Residence Multiple No. Units JIB iii I,,L U "itJE Commercial r Industrial By: Chief Inspector Other In consideration of the issue and delivery tome 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: 3Lein~e Please notify the above office when ready for inspection and connection.