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3967 Palisade Way - Tie In Card • ' ' EAGAN z01WWNSUIP 3795 Pilot Knob Road St. Paul, Minnesota 551.11 Telephone 454 -5242 ((^^yy . PERMIT FOR WATER SERVICE CONNECTION ` 1 ((� Number: 972 Dote: `_ ( (1 }— i � • Bil Name fly" `,`'�'j S)pl (.111 Site Address:, -1 / 7 f ( - t"t LLsMM f H ll� o wner: (''\--'(;:r'-' I1 `r 1 �l11(Z l 1)I"+`,1 Billing Addreas � , j�l�i I Y rli �( L Plum :."` t l`. � �l..t 1))\ 1Ill/ /. • Location of Connection Meter Sise Connection Cbg. 300- W 1c 9/11/72 / Meter No. Permit Fee 10.00 pd 9/11/72 .yv p4 y /1 Meter Reading,....._ Meter Dep. Meter Sealed: Yea__ Add'1 Chg. No Total Chg. y� 9s' 3 • i Inspected by date 9 -, v7 - 2 y Building is a: Remarks: ` Residence_.., Multiple�, O. Units Camoercia1. � Industrial B Chief Inspector Other, _ . In consideration of the issue and delivery to me of the above permit I hereby agree to do t1e proposed work rdanc with rules and regulations of Eagan T Dakota in County��,��M_inneso i B : ( accot c:'1 1 . the i \ � , - IA. Please notify the ahoy bove office when ready for inspection and connection. -? a . . -: , ,