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3882 Palisade Way - Tie In Card r 4~ ~'4uy t EAGAN TOWNSHIP 3195 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: Number:1OB1T~~ Billing Na 15 bite Addreas. ~ v Owner, Billing Addreea t>~~ Plumber: l Location of Connection Meter Size Connection Ch9.a[xt_0_O x12/1 Meter No. Permit 'FeeIn-nn r19,Ti1/►2 Meter Reading Meter Dep. " 50 11/72 8 Meter Sealed: Yes- Addll Chg. ~J y NO Total Chg. '1 0 Inspected by Date 4 All' >1 Building is a: Remarks: Resideuca~_ Multiple No. units Commercial 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 Counyty,~~ Minnea t , a.. BY Please notify the above office when ready for impaction and connection.