3877 Palisade Way - Tie In Card EAGAAN TOWNSHIP
3795 Pilot Itnob Road
St. Paul, Minnesota 551.11
Telephone 454- 5242
' PERMIT FOR WATER SERVICE CONNECTION
6/29/73 (1 2/29/79) Number: 1235
Date: 1f - -7 - 4' Palisade way
Billing Name: ".k'' •+' (1rrn^e PAnstnlntim
4ulite Address: _,1._44r_ -*i- inga u„ y,.... , ..,,.„Y
BtI Iin g. Addre s a
Owner:
Plumber: zt - rings
Meter Size Connection Chg. iru�.OcLi'i i/26/73
Location of Connection .- --- --
Meter No. Permit Fee an nr
n � �.. 9/72
Li ...
.50 pd 12/29/72
, ) , Meter Reading Meter Dep.
Meter Sealed: Yea_ Add'l Chg.
i
'2 7
NO Total Chg.
Inspected by_.______..._.-,-....-.....----------
Da te
i� iii .7 yt
Building is a• Remarks:
Residence x
Multiple No. unite "R CC F ' — .— ' PFCTION FFF FOR
Commercial I iaR FP.!'Y H STALLED tIETERS.
Industrial By:.___,____------ Chief Inspector:
Other
In consideration of the deliner�ctodmecofat the e a bo v e up e rm it , I
hereby agree to do t1B proposed
regulations of Ragan Township, Dakota County, Minnesota.
By:
St4n e
Please notify the above office when ready for inspection and connection.