3932 Palisade Way - Tie In Card
EACAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Number 1035
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Billing'Nama: ~L Address - -1
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Owner: Billing Address?,~y. x!1,)(7 rr1
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Plumber: \
Location of Connection Meter Size Connection Chg.300- 11/10/72
Meter No. Permit Fee 10.00 d 11/10/jZ
--11/10/7
Meter Reading`, Meter Dep.
• Meter Sealed: Yes Add'1 Chg. 3p 31
NO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence zr
Multiple No. Oaita
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 County, Minnesota. n
By:~:.:~
Pleaje notify the above office when ready for inspection and connection.