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.
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